17-101384 Electrical
City of Federal Way Permit #:17-101384-00-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: EL-MASRY
Project Address: 31428 13TH AVE SW Parcel Number:416810 0070
Project Description: Change out existing panel.
Owner Applicant Contractor
TAWNYA EL-MASRY STEVE ANDERSONB B ELECTRIC B B ELECTRIC
31428 13TH AVE SW 17404 MERIDIAN E BBELEBE950P1(10/22/17)
FEDERAL WAY WA 98023 PUYALLUP WA 98375
17404 MERIDIAN E
PUYALLUP WA 98375
Additional Permit Information
Is this an Online or O.T.C.application? Yes
E`,. € _f_ /"�i"#a �n §m t w. i elf✓ j r iN Q�� E:
Alt. Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Tuesday,27 March,2018
Permit Issued on Monday,March 27,2017
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
/, Washin ton and the City of Federal Way.
Owner or agent: /<� (/ Date: /
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THIS CARD IS TO REMAIN ON-SITE •
�rr� Construction Inspection Record
eClel'aI vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101384 00 Address: 31428 13TH AVE SW
Project: TAWNYA EL-MASRY FEDERAL WAY WA 98023-4507
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.
e " '
® UFER Ground(4295) El 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
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Dat=
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
41k. MAR 27 2017 ELECTRICAL
CITY OFCITY lff ,.,•:,..
WAY
Federal WayCOMMUNITY DEVELFEDEOPME
F "PERMI'T APPLICAfiION
PERMIT NUMBER I 7 _ ( 0 ' 3 q
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 I£4 2 ( TI'' S/ „
PROJECT VALUATIO'Nf� ASSESSOR'S TAX/PARCEL# (!CJ 0 -- C U-�C� CURRENT/PROPOSED USE
_
PROJECT NAME (� � C� �
(Tenant or Homeowner Last Name) I ' L y
PROJECT DESCRIPTION �/^ �' i�� 134.A.&(
Detailed description of work to
be included on this permit only
NAME I ,f PRIMARY PHONE
PROPERTY OWNER 1 Dc i(Ve_ d6‘/
MAILING ADDRESS E-MAIL
AM- e- /35 A-6°
CITY STATE ZIP FAX
NAME PRIMARY PHONE
Ji" ( 0t3A 113 ek . ,- (X3)5)3 - l3 ) -3
WAILING ADDRESS E-MAIL
ELECTRICAL rr`^ )91 011 1-
CONTRACTOR CTF STATE ZIP FAX
l C1/ U4 k 6 3 )
WA STATE CONTRA OR'S LICENSE# EXPIRATION DAT FEDERAL WAY BUSINESS LICENSE#
15 1.2-7e- be_ f >/ //
NAM,E(j PRIMARY PHONE
APPLICANT v
MAIL7ADDRESS E-MAIL
a Nl f' A''s 1/4'4
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 a part of this application.
//
SIGNATURE: �� _ DATE �� L//
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