17-103898 Electrical
City.of Federal Way Permit #:17-103898-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: KAMAU
Project Address: 811 S 309TH ST Parcel Number:931500 0100
Project Description: Electrical work for garage conversion and interior remodel,including outlets,lighting and
switches.
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
1 iev Vis;
r
Circuits-Residential 8
PERMIT EXPIRES Tuesday, 14 August,2018
Permit Issued on Monday,August 14,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: Date:
ty
2'
t W
. 4THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103898 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.
El UFER Ground(4295) � Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date *By Date By Date
•® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
4121
Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ��By l_t3.r1 Date kI-z4—t,"� ,,By Date
El Final-Electrical(4055)
Approved
By L\54.4„......, Date Q.-1`3-1t
Rough Electrical ❑ Final ElectricalE3 Right of Way
Approved Approved Approved
By Date By Date By Date
A. RECEIVED
201 ELECTRICAL
CITY OF AUG 1 4
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / 7-_ / 0 3 3 P_ L
SITE ADDRESS: 0 JQ 3°
lam/fklifd 61, SUITE/UNIT/SPACE#
gi- CCARAI
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /D00 d1 3 1 s o o - o I o a
PROJECT NAME t
(Tenant or Homeowner Last Name) tt'a,,(adg‘. ``` �e t
iter 4,(c-autc
i- cairlt
gPROJECT DESCRIPTION C WCX5f '\ rte
Detailed description of work to
be included on this permit only
NAMEi ��11 c�am,, PRIIMAARY PHONE
PROPERTY OWNER l A'1 A-(,I (/�3) 8-Z,4 32-/2
MAILING ADDRESS E-MAIL
g 0 s so �J lC Cmw--
CITY STATE ZIP
T40'041;0(
F�
P',r up, o(88003 ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ((�� PRIMARY PHONE
APPLICANT c) ""W c� ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT NAME PRIMARY PHONE
IAvw iv►-u aeoc L ( 2 03- 3 °72.
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 any 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 ciii. , a part of this application.
I''
SIGNATURE: ll�,j, DATE U' 1111 14PRINT NAME: CL0 Q,/ r✓
CW
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application