17-105121 - • • ..
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Electrical
City ofFederal Way Permit #:17-105121-00-EL
Community Development Dept.
33325 Stn Ave S rInspection Request Line: (253)835-3050
Federal Way,WA 98003 pe q
Ph:(253)835-2607 Faz(253)835-2609
Project Name: KAMAU
Project Address: 811 S 309TH ST /. Parcel Number:931500 0100
Project Description: Add new subpanel to newly converted garage.
•
Owner Applicant Contractor
GEORGE KAMAU GEORGE KAMAU OWNER IS CONTRACTOR
811 S 309TH ST 811 S 309TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application Yes
Alt.Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Tuesday,23 October,2018
Permit Issued on Monday,October 23,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the u.4 will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
/11iv"
Owner or agent: ' Date:
j THIS CARD IS TO REMAIN ON-SITE
� Construction Inspection Record
FeCleral vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105121 00 Address: 811 S 309TH ST
Project: JANE KIRUKA FEDERAL WAY WA 98003-4709
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
.1....„
1❑ '0
UFER Ground(4295) 0 Ditch cover(4030) 1,03❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
.
® Pool Bonding(4195) ' 0 Temporary Power(4275) • ® Service(4235)
Approved Approved Approved
By Date By DateBy Date
0 Feeders/Sub-panels(4045) 1 ® Rough Electrical(4225) .0 Ceiling Cover(4020) '
Approved Approved i Approved
.By 141/%; Date ite It'd ..By Date ••By Date
•
10 Final-Electrical(4055)
Approved
By Q 101/4,k3 Date 2......v ....g.
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF !f F
Federal Way OCT 2 3 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT j _ J 1 0
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PERMIT NUMBER
^ � SUITE/UNIT/SPACE#
SITE ADDRESS: `'g II S `v` c1±k 1kYft/(1 (.. ergo
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 4/1)0, _ ���JJJ
PROJECNAME
(Tenant or Homeowner Last Name) etet" a- cel — c,,..io✓ ( ,
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PROJECT DESCRIPTION L` Ctli.4.Y' R ) , 0 Cc( ecavo4' l� -
Detailed description of work to �++ A,I� — r a { Ill(
sc: 4 /�,r, J e(,'r�r'
be included on this permit only C~•l ( (/Y 1 u(i1•�
CoNtra if (-I-
NAME PRIMARY PHONE
PROPERTY OWNER f U p.n.s_
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MAILINGDRESS 44 E-MAIL
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STATE ZIP
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---nNAME PRIMARY PHONE
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14 PAM art t'. • 01-836 - 31g9 ,
MAILING ADDRESS E-MAIL
ELECTRICAL I i .S 3 ' rrit
����CONTRACTOR Y I STATE ZIP KA rail, 1
WA STATE CONTRACTOR'S tit Vdik I ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME (� PRIMARY PHONE
APPLICANT O - " CK' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
.tOl n ( )PROJECT CONTACT _) I ftr1
,
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by arty person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a p. f this application.
SIGNATURE: miall DATE
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PRINT NAME: j1 LA Lir,I . S IP
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application