15-104484 ', Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-104484-00-EL
33325 8th Ave S
Federal Way,WA 98003V »
IPh:(253)835-2607 Fax:(253)835-2609 aImagi :1 0
Inspection Request Line: (253) 835-3050
Project Name: IBRAHIM
proect Address: 30228 MILITARY RD S Parcel Number: 042104 9023
r'roject Description: Adding up to(4)circuits for new baseboard heater, GFI and outlets
•
Owner Applicant Contractor
MUHAJIR W IBRAHIM MUHAJIR W IBRAHIM OWNER IS CONTRACTOR
30228 MILITARY RD S 30228 MILITARY RD S
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits- Residential 4
PERMIT EXPIRES Tuesday, March 1, 2016
Permit Issued on Thursday, September 3, 2015
I hereby certify that the above infprma 'on is correct and that the construction on the above described property and
the occupancy and the use will e in cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. P
Owner oragent: � Date: ( ) �G >
/ ..I
THIS CARD IS TO REMAIN ON-SITE
CITY OF �``'"' , Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104484-00-EL Address: 30228 MILITARY RD S
Project: MUHAJIR W IBRAHIM FEDERAL WAY, WA 98003-4231
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.
❑ UFER Ground (4295) ElDitch cover(4030) El 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
El Feeders/Sub-panels(4045) .El Rough Electrical(4225) �� Ceiling Cover(4020)
Approved Approved Approved
By Date 'By � � Date `A-I1/43 1 By Date
o Final-Electrical(4055)
Approved
`By ., Date 01_3,14 --tAt. .
Rough Electrical P Final Electrical ,_-ElRight of Way
Approved Approved ® Approved
By Date By Date By Date
. -- - --_-
CITY OF 't ELECTRICAL
Federal Way PERMIT APPLICATION RECEIVED
PERMIT NUMBER l _ 1 0 / 4 8 \ _ 0 o
SEP 032015
caxSITE ADDRESS: ;�,{�i / � �WAY
�` 2� lAk• � -ori Y4 S vedira,twail L,t, CDS
PROJECT VALUATION Com-' ASSESSOR'ST�ARCEL t
oO - 0 /( / c + - 2 CURRENT/PROPOSED USE
PROJECT NAME — —
(Tenant or Homeowner Last Name) 1 , r,4t-I-
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PROJECT DESCRIPTION '6I..LAJ I(t 4
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER q��
11� y., \Y �v c. �, _206 a) q5 'q
MAILING ADDRESS
E-MAIL
D049' AAC‘{A'e '( 'f-e.‘61 W`C‘-t/
CITY ' ' STATE ZIP FAX
CJA-C
N E
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP
FAX
)
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
I v PRIMARY PHONE
APPLICANT Vn/�a- r ✓cL L1 (2 ) g i— C-'
MAILING ADDRESS /�
G 2 L> i,'v/�"1.'l V\ck rl ! 3 E-MAIL
CITY/� /� � STATE ZIP�7
e,t INn� t I LVA I Cl U G L FAX
( ) -
PROJECT CONTACT NAME
PRIMARY PHONE
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 Feder 1 Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such laim), which m be made by any person, including the undersigned, and filed against the city,
but only where such claim arises o o th elian of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a alit hi plication.
N____0,/ /
/
SIGNATURE: DATE 6 /t'� 6 5 //i
PRINT NAME: MAJ. C(-lit-) I 1 G11i
Bulletin#160—January 1,2013 Page 1 of 2 kAIlandoutsTlectrical Permit Application