19-100491T# : %4
City of Federal Way
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax. (253) 835-2609
Project Name: ALPINE HERITAGE ADULT FAMILY HOME
v
Electrical
Permit #:19 -100491 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 31224 10TH AVE S Parcel Number: 787540 0075
Project Description: Run electrical wiring behind sheetrock for protection.
Owner
Applicant
Contractor
JAMES MWANTHI
JAMES MWANTHI
OWNER IS CONTRACTOR
31224 10TH AVE S
31224 10TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
PERMIT EXPIRES Thursday, 30 January, 2020
Permit Issued on Wednesday, January 30, 2019
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: ol 3d 12,01 �
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1910049100 Address: 3122410TH AVE S
Project: JAMES MWANTHI FEDERAL WAY WA 98003-5305
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.
0
UFER Ground (4295)
ID
Ditch cover (4030)
F11
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
By
Date
By
Date
EB Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)ElTemporary
Power (4275)
® Service (4235)
1D
Approved
Right of Way
Approved
Approved
By
Date
By
Date
By Date
EB Final - Electrical (4055)
Approved
By Date
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
1D
Ceiling Cover (4020)
Right of Way
Approved
Approved
Approved
Approved
Approved
By
Date
By
By
Date
By
Date
EB Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
DECEIVED
CITY of A
Federal Way JAN 3 0 2019
ELECTRICAL
PERMIT APPLICATION
CITY OF FEDERAL
COM WAY
UNITY DEV 0 MENT
PERMIT NUMBER
SITE ADDRESS: 2-1'('121+ ((�'i^ �V S I FC-DEAO ✓ (, *� 1?'Qd3
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL M
%kZ7 00 7 S
CURRENT/PROPOSED USE
$ 1�, oo
-S -Y a
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
W J11 W67 Ag(', 0 A S{(b5j-
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS ,(�. e
1STATE
E-MAIL
CITY _ \11/
ZIP
FAX
/
NAME ��
PRIMARY PHONE
MAILING ADDRESS 31224, (O.
E-MAIL
i Sr�i,xlvk��6E uvrti(-(bro
ELECTRICAL
CITY
,F; WRY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
NAME
J�►�� Y�w�r� l
PRIMARY PHONE
(� c�S � � - y.3s6
i�MAILING
APPLICANT
ADDRESS
31z�u io" Avc s
E-MAIL
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CITY
�
STATE
ZIP
�ik�s
( FAX
1
PROJECT CONTACT
NAME(
a M oWTO
PHONE
(� ) 1� (�6
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: � �' DATE
m��a1�1`9
PRINT NAME: �HMES �IWAA'� rT
Bulletin # 160 — April 14, 2016 Page 1 of I k:\Handouts\Electrical Permit Application