16-103480City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NGINYO
Project Address: 2665 SW 335TH PL
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Permit #: 16 -103480 -00 -EL
ILEInspection Request Line: (253) 835-3050
Project Description: Add (3) circuits and modify (2) circuits.
Parcel Number: 0100601190
Owner
ARRIican
Contractor
ELIUD N NGINYO
ELIUD N NGINYO
OWNER IS CONTRACTOR
ANNE GIKU13U
2665 SW 335TH PL
2665 SW 335TH PL
FEDERAL WAY WA 98023-2728
FEDERAL WAY WA 98023-2728
1' Additional Permit Information
Electrical Work Valuation?....................................1000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 3
PERMIT EXPIRES Wednesday, July 19, 2017
Permit Issued on Tuesday, July 19, 2016
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: 1 Date:
0.
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'CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record '
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -103480 -00 -EL Address: 2665 SW 335TH PL
Project: ELIUD N NGINYO FEDERAL WAY, WA 98023-2728
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.
UFER Ground (2 5)
Pool Bonding (4195)
Ditch cover (4030)Slab/Concrete
0 Temporary Power (4275)
Floor (4 ,55)
E]
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical
Approved
Pool Bonding (4195)
0 Temporary Power (4275)
E]
Service (4235)
By
Date
Approved
By
Approved
By
Approved
By
Date
By Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By Date S , 4
By
Date
Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF VAA
Federal Way
PERMIT NUMBER I �0
RECEIVED ELECTRICAL
JUL 192016
CTT`( OF FEDERAL\N4 ERMIT APPLICATION
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SITE ADDRESS: -(Uj SES 4, / Z-
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(�L�
rTE/UNIT/SPACE #
PROJECT VALUATION
$ ►oo0
ASSESSOR'S TAR�/pPARCEL #
V V� _
1
CURRENT/PROPOSED USE
C
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
� u
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PRIMARY PHONE
(20 6) 2 2 - S
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
)
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME/I
/ 1! d
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PRIMARY PHONE
�) S
MAILING ADDRESS
MAIL
CITY
STATE
ZIP
(/ FAX
1 )
PROJECT CONTACT
NAME
PRIMARY PHONE
)
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 city as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page I of 2 k:\Handouts\Electrical Permit Application