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19-103050 Electrical City or Federal Way Permit #:19-103050-00-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: KIRORI/KARIUKI Project Address: 32154 32ND AVE SW Parcel Number: 873190 0540 Project Description: Add lighting,switches and outlets. Owner Applicant Contractor MATHEW KIRORI MATHEW KIRORI OWNER IS CONTRACTOR 32154 32ND AVE SW 32154 32ND AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C.application9 Yes Aa This PERMIT EXPIRES Wednesday,24 June,2020 Permit Issued on Tuesday,June 25,2019 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: ( �A I' A 3 1-' Date: G- �-5• ��► r 1 r ,. THIS CARD IS TO REMAIN ON-SITE `R'"' Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 103050 00 Address: 32154 32ND AVE SW Project: ANNE C KARIUKI FEDERAL WAY WA 98023-2206 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) 0 Ditch cover(4030) •0 Slab/Concrete Floor(4255) Approved Approved i Approved to place concrete By Date By Date lBy Date El Service(4235) Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) Approved Approved Approved By Date By Date By , c9 Date / ` s 0 Ceiling Cover(4020) ® Final-Electrical(4055) Approved Approved By Date i By fr Date /t7-51–",/ 1 • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date CITY of R 1`F" D ELECTRICAL Federal Way PERMIT APPLICATION Jl.k 7 2U19 c iT �. �:E, ;:,o, vaAy /� _ f� J'� CiQ M' d!TY l7.E JELOP Ei RMIT NUMBER /V 0 5 V - E L- SITE ADDRESS: f DE 2A- _ t A y SUITE/UNIT/SPACE# 3 a 15 q. 32^10 Ave. S lti, ' A q.$ PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) i7 H t 1,0 V i(Zo rQ ( M 170 t FY AA-A-5 TEA /(SP°-flonyl 5i 2 TO CA—GA-1—e ,4b P,-CE 0n1 fit- PROJECT DESCRIPTION At -N ' N0 mkt] 6Ir N ,, (A-)m-1.- ecf tFO Detailed description of work to 6 ) A-01) 1-16117004 Om TL EL R GE C( S be included on this permit only �/ I NAME PRIMARY PHONE PROPERTY OWNER M/ 1 -i(2oj2 of A-Nry C- lL�q-21(A k( (.0(0) cis 0 092 MAILING ADDRESS E-MAIL 'a*5A-U r I ilk /9-✓: 8't /14.4+Ktc1441v i• COA.k CITY STATE ZIP FAX 1.<'e 14)4 9,03v ( ?O/) 7o/. NAME PRIMARY PHONE AMc cE7ws./i(C — A-1""r� ( ) - 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 �'l'1/Lo R-1 (X.) cf 0y- 00 5 2 MAILING ADDRESS E-MAIL l(k52- ((2`1" Ave, "Ac,+-Ki bs91-►na(I• Ca•_ CITYSTATE ZIP FAX / {�2t►.1.- W A 16'`d3 b ( ) - NAME PRIMARY PHONE PROJECT CONTACT t (2_,p k I 6196—) 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'asaa part of this application. c-v--) SIGNATURE: Q✓ rt,",_ - _DATE 1p" 2A 2-0 c PRINT NAME: Alt`. AI 71-1-f u Kr R 0 Q I Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application /9-103050 CITY t1€ '- Property Owner Federal Way Electrical Work Permit Application A ply ng F©r Your IIn Washington, only licensed electrical contractors may perform electrical work. Propertyowners may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. .Affidavit As authorized under RCW 19.28.261, I, 44 /t7/+Ctt i id IRO(21hereby apply (Printed name of property owner,renter,or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by submission of this affidavit. -Which statement describes you? (Mark only one.If none;apply,you rriziy.not take out.this permit) (2' I own this property. Your name or your company's name must be shown on the deed to the property. Real estate agents'property I management companies, relatives, etc. cannot purchase permits for the property owner. ❑ I rent or lease this property. We need a copy of your rental agreement showing you have permission to perform electrical work. .1 ❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. The total market value of electrical work must be$30,000 or less and all electrical work must be done by a non-compensated appropriately certified electrician. Select your property tYPe-(Markonly one If none apply,you ra3not take out this erm .) Er New single family residence that is not intended for rent, sale,or lease,where I will be living for at least 24 months after completing the electrical work. I will be personally doing the electrical work. ❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale, or lease. I will be living in one of the units for at least 24 months after completing electrical work. I, personally,and/or a regularly employed employee(s),will be doing the electricalwork. ❑ New place of business,farm,or other property:Any new structure that is not intended for rent, sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. ❑ Existing residential property,place of business or farm.I> personally,and/or a regularly Y t employed employee(s),will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www.cityoffederalway.com 6,permitcenter@cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application ❑ 501(c)(3) or nonprofit religious organization owned property:The total market value of the electrical work must be$30,000 or less,and all electrical work will be performed by appropriately v certified electricians,or certified and properly supervised trainees,who are volunteering and not being compensated for the electrical work per RCW 19.28.091(7). -Your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license,or use a certified electrician, as provided under RCW 19.28.261. g By signing below,I certify the information I am providing on this affidavit is true and accurate. I ' understand that if I make false statements or misrepresentations,I may be assessed penalties. M ifk—(H w i4 i(4121 all;ev.._. 14, Printed Name of Property Owner,Renter,or Lessee Signature Date 6 ex -, .u8aw g.e— x o - r a at rar a rea � ww ' i ' pr y Owner and inspection Site Informatlon € 5 M toc—f i-t R l Rod- 1 Property Owner's Name(Last,First)or Company Name . 3ai Sy, 32_N0 fit✓ .S„v r-c ZA-t_ w Pr /go a-3 Mailing Address Unit/Apt.# City State Zip V?. 409, 0092._ AAA -tc,r I. � Daytime Phone Email Address « Ba i S1 . :2^',) / / ` Q 7 Inspection Site Address(if different) Unit/Apt.# City State Zip I,2--►NU Ps e n • County Electrical Power Company/Serving Utility b • Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) f i DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www.cityoffederalway.com permitcentert icityoffederalway corn Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application