13-102216 Electrical
City of Federal Way •
Community&Econ.Dev.Services Permit #: 13-102216-00-EL
33325 8th Ave S
Federal way,wA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: BETHESDA GARDENS LLC
Project Address: 2912 SW 333RD ST Parcel Number: 954280 1840
Project Description: Interconnect smoke detectors for associated adult family home
•
Owner Applicant Contractor ,
JUDITH K KIMANI JUDITH K KIMANI OWNER IS CONTRACTOR
BETHESDA GARDENS LLC BETHESDA GARDENS LLC
2912 SW 333RD ST 2912 SW 333RD ST
FEDERAL WAY WA 98023-2727 FEDERAL WAY WA 98023-2727
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Saturday, November 16, 2013
Permit Issued on Monday, May 20, 2013
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
-nd the City of Federal Way.
Owner or agent: �� ,� r Date: 1 a
3
frg
• THIS CARD IS TOIAIN ON-SITE ,
CrrY OF 1101& Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-102216-00-EL Address: 2912 SW 333RD ST
Project: JUDITH K KIMANI FEDERAL WAY, WA 98023-2727
Scheduled inspections maybe 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.
O LIFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055) '
Approved
B Date `" 2 e /____
LT-
O Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
i c zz ic(2
CRY OF
Feqlkippiytb ELECTRICAL
MAY 2 0 X013 PERMIT APPLICATION
CITY OF FEDE' ,4fo,/ /ectrical permits may be obtained on-line at www.cityoffederalway.com**
CDS PROPERTY INFORMATION
=TIC ADDRESS: a 1 s S
SiTl1'L/LTr1T/BPACa. �8? AACII./q. - SiG-./- � CORffi1',
1liGIGBID
IIB�
- `
PROJECT INFORMATION l
PROJECT NAME eowner Last Name) \ 14\ C 1 I LY/ k G S t- )
(Tenant or HoPROJECT DESCRIPTION , me kc. Q \e cVo is -ZU cm Q 1C\S4-Vv16
Detailed description of work to
be included on this permit only ,YZ u vk- .
PEOPLE
NAME K PRIMARY PHONE
PROPERTY OWNER 1 u f 71 1 1--} 1 YVI.}-tv
MAILING ADDRESS
2,9 1c sof M1
CITY STATE 71! PAZ
F-e_d W � w ci ) -
NAME PRIMARY PHONE
t )
MADAfG ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CM STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE PEDERAL WAY RDSINESS LICENSE
/ /
NAME PRIMARY PHONE
APPLICANT MADING ADDRESS ` ) R-MAI.
CRT STATE ZIP PAZ
)
NAME PRIMARY PHONE
PROJECT CONTACT ( )
I certtfy under penalty of perjury that I am the properly 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.
!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 effacers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: ��l DATEDATEI i 3
PRINT NAME: J L r► y?�_� 1 -1 V/1 A t 1
33325 8m Avenue South•Federal Way•WA♦98003-63251253-835-2607♦fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:WandoutsWlectrical Permit Application