14-104943Electrical
City of Federal Way p Permit #: 14-104943-00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Ins ection Re uest Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
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Project Name: QURESHI �jy (o7a
Project Address: 33741 37TH PL SW Parcel Number: 921150 0230
Project Description: Replace panel.
Owner
QAZAH QURESHI
ARRIlicant
QAZAH QURESHI
Contractor
G02 ELECTRIC LLC
1360 248TH AVE SE
1360 248TH AVE SE
G02ELEL919JA (4/1/15)
SAMMAMISH WA 98074
SAMMAMISH WA 98074
1722 N LEXINGTON ST
TACOMA WA 98406
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Tuesday, March 31, 2015
Permit Issued on Thursday, September 25, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and a us ill be in accordance with the laws, rules and regulations of the Stat of Washington
and the City of Federal Way. // L
Owner or agent: Date: (V
f VKxL0!E:'J)
r Ekdrital
Community & Eccon Dev. Services_ Permit #: 14 -104943 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 p q
Project Name: QURESIH
Project Address: 33741 37TH PL SW �'�' ��� ' 2 Parcel Number: 921150 0230
Project Description: Replace panel.
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, March 24, 2015
Permit Issued on Thursday, September 25, 2014
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. I
Owner or agent: Date: Q
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Owner
QAZAFI QURESHI
1360 248TH AVE SE
SAMMAMISH WA 98074
Annlicant
QAZAFI QURESHI
1360 248TH AVE SE
SAMMAMISH WA 98074
Contractor
OWNER IS CONTRACTOR
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, March 24, 2015
Permit Issued on Thursday, September 25, 2014
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. I
Owner or agent: Date: Q
— bNDkc-t44-9 r4* -T (N C�Na� T
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CITY of
Federal Way
PERMIT #:
Project:
s
THIS CARD IS TO I ON-SITE `
Construction In ection Record -
INSPECTION REQ TS: (253) 835-3050
14 -104943 -00 -EL Address: 33741 37TH PL SW
QAZAFI QURESHI FEDERAL WAY, WA 98023-2958
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.
LIFER Ground (4295)
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
Temporary Power (4275)
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
Temporary Power (4275)
Service (4235)
Pool Bonding (4195)
Date
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date j o 13
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
4%
c,ry cHF .�--
Federal Way
PERMIT NUMER
*RECEIVED
SEP 2 5 2014
CITY OF FEDERAL WAY
CDS
0
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: 337 tq 371-k, T) S W. redeQl ( �%v Z 3
0A2
SO1TE/UIZIT/SPACE #
1h
QJSC1bA>� n011
T�j /p�� # 5- p _ D 2 3 p
777
``/PROPOSED IIS$
PROJECT NAME
(Tenant or Homeowner Last Name)
s
kb
IPROJECT
DESCRIPTION
Detailed description of uyork to
be included on this permit only
PROPERTY OWNER
NAME
1
az �1t
PRIMARY PHONE
(2D6 ) s o i - O5 7
NULRMG ADDRESS
134 o 29SI k E
of awNd;i w
CITY STATEZIP
V /
FAX
) -
PRAMET
MAILING ADDRESS
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # ON DATE
FEDERAL WAT BUSINESS LICENSE #
NAME - `
PRIMARY PHONE
APPLICANT
MAILI( ADDRESS
E-MAIL
MIT
sTATa
zNP Q'
FAX
PROJECT CONTACT
NAME �
eS
PRIMARY PHONE
PR
(266 ) z o I- D 7 7
I certify under penalty of perjury that I ani the property owner or authorised agent of the property owner. I cert(rg that to the best
of my knowledge, the Wormation submitted in support of this permit application is true and correct. I eerdh that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 costa, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and flied 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 vs
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application