21-100991City of Federal Way
Community Development Dept.
33325 8th Ave S
J
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ABIATHA AFH
Project Address: 30625 1ITH AVE S
Electrical
Permit #:21-100991-00-EL
Inspection Request Line: (253) 835-3050
Project Description: Installing a new socket and switch for remodel. Altering 3 circuits.
Parcel Number: 091900 0135
Owner
Applicant
Contractor
JACINTA KINUTHIA
JACINTA KINUTHIA
OWNER
30625 1 ITH AVE S
30625 11TH AVE S 30625 11TH AVE AVE
OWNER
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 200 Alt. Serv./Feeder: 201 to 600 a 201 Alt. Serv./Feeder: over 600 am 600
Temp. Service: 101 - 200 amp: 101 Temp. Service: 201 - 400 amp: 201 Temp. Service: 401 - 600 amp: 401
Temp. Service: 61 - 100 amps 61 Temp. Service: 0 - 60 amps (A 60
PERMIT EXPIRES Tuesday, 15 March, 2022
Permit Issued on Monday, March 15, 2021
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
Washing IJ C y deral Way.
Owner or agent: Date:
r.
CITY Or-
Federal Way
Applying For Your Electrical Permit
In Washington, only licensed electrical contractors many perforni electrical work. Property owners
may apply for an exemption from these requirements by completing and signing the affidavit
below before applying for an electrical permit or beginning electrical work.
ffidavit,,.
As authorized under- RCW 19.28.261, 1, Cf-IARUES NYONYQ atad.lACiNfA
KI1�tL1Tl-IIA
(11riwed .wime Qt property owner. renter. or 1e.ve e,
hereby apply for an exemption from the electrical licensing and certification requiretxrents of
RCW 19.28 by submission of this affidavit.
Which statement describes you? (Mark only one. If none apply, you may not take out this permit.)
I own this property.
Your name or your company's nume must he shoirrr orz the deed to the property. Real estate u,�Ients,
property management companies, relatives, etc. cannot purchase permits %or the properly owner.
} ❑ I rent or lease this property.
J 'e need a eojnv oryour rental agreement showing you huge permission to perlbrnz electrical ivork,
❑ 1 ani an officer foi* a 5®1(c)(3) nonprofit corporation, or a nonprofit religious organization.
The total market value ofeleetrical work nnrst be S.30,000 or less and all electrical ivork must be done by
a non -compensated uppropriately certifier! electrician.
Select your property type (Mark only one. Ij'none apply. you my not take out this permit.}
❑ 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, 1, personally; and./or a
regularly employed employee(s), will be doing the electrical work.
❑ 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. 1, personally, andfor a regularly employed
employce(s), will be doing the electrical work.
DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 810 AVENUE SOUTH / FEDERAL WAY, WA 98003-6325
253-835-2607 :� www.cilyoffederalway,com lsermitcarlter clfy_a_ffederalway_.com
Bulletin N170—Ally 27, 201R Ya¢c I cil 2 k:`I.I handouts`. Properly Owner filccirical Work A1lidavil
❑ 501(c)(3) or nonprofit religious organization owned property: 'I'll e total market value of the
electrical work must be $30,000 or less, and all electrical work will be performed by appropriately
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 requirennents to obtain an electrical license, or use a certified
electrician, as provided under RCW 19.28.261.
By signing below, [ certify the information I am providing on this affidavit is true- and accurate. I
understand that if l make false statements or misrepresentations, I may be assessed penalties.
' 03/15/2021
I Signature Date
CHARLF;S NYONYO/JAC:INTA KING THIA
i
i
Property Owner and Inspection Site Information
'
CHARLES NYONY0 and_►ACINTA KINUTHIA
Property Owner's Name and/or Company- Name
;
30625 1 1''' AVE SOUTH t--LDERAL WAY WA 98003
Mailing Address Unit;'Apt.# City State Zip
2533323396/ 2533340896
ki nj ac2005{Giryahoo.com
I
Daytime Phone Email Address
30625 I ITIIAVE SOUTH F.LDLRAL WAY WA 98003
Inspection Site Address Unit/Apt.,,=
DescriptiQu of work being dune (Example: adding outlets in the kitchen, second boor breal;.arca, etc,)
C.ONVEWFING A GARAGE INTO A ROOM
4
F
}
_ .........
DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 8T11 AVENUE SOUTH / FEDERAL WAY, WA 98003-6325
s
253-835�2607 -, www.cityatfederraiway.com 7�ermliceriteK@-cityoflederalway.com
Bulletin #" 170 — Jule 27. 2018 Page 2 of 2 k:l1WRIOUls`� Prorert} (honer Electrical Work Aflidav it
A:%�
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100991 00 Address: 30625 11TH AVE S
Project: CHARLES NYONYO FEDERAL WAY WA 98003-4121
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS C ARI). 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 (4295) ❑ Ditch cover (4030) ❑ 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
0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved Approved Approved
By Date By Date —J-4 By Date
' C' Final - Electrical (4055)
A ppruvW
By -1� Date
❑
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date