16-100969'+ w
Electrical
Community & icon. Deof Federalv. Services Permit #: 16 -100969 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 P Q ( ) 835-3050
Project Name: ELAMIN
Project Address: 33337 42ND AVE SW Parcel Number: 286730 0090
Project Description: Permit to complete the work and get final inspection of project under Permit #07-103982
for "200 -amp service for new 4,257 square foot residence."
Owner
Annlicant
Contractor
MOHAMED O ELAMIN
MOHAMED O ELAMIN
OWNER IS CONTRACTOR
15309 NE IST ST
15309 NE 1ST ST
BELLEVUE WA 98007
BELLEVUE WA 98007
Additional Permit Information
Electrical Work Valuation?....................................0 Is Use Educational or Institutional? ....................... No
Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Wednesday, February 22, 2017
Permit Issued on Tuesday, February 23, 2016
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: / / , - Date:
FINAL ��"
CITY OF ,
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE »,
Construction Inspection Record
INSPECTION REQ TS: (253) 835-3050
16 -100969 -00 -EL Address: 33337 42ND AVE SW
Project: MOHAMED O ELAMIN FEDERAL WAY, WA 98023
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.
D
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
El
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
D
Pool Bonding (4195)
Temporary Power (4275)
El
Service (4235)
By
Approved
By
Approved
By
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
11
Final - Electrical (4055)
Approved
By
Date I?-
D
Rough Electrical
Approved
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
'f.
El
Inspections
SlablConcrete Floor
Ceiling Cover
Electrical Inspections
Temporary Power
Ditch cover
Rough Electrical
Pool Bonding
FeederslSub-panels
Service
Final - Electrical
UFER Ground
Folder Status Changes
I r1 IVR User
411012009 01411 WON 0 411012009 1 4/1012009 1 Poseph Szpe
IVR User
-F.__....._.._._l F- FVR User
12012009 0 /2012009 0 1112/2009 13/20/2009I onjs
� -�___W_,. _n�l 3l IVR User f
IVR User
312012009 0 3/2012009 0' /2012009 1PMM09 1 ronjs
IVR User
-� 8124/2007 0 812412007 0 11012008 0 7/10/2008 0 IVR User
CITY OF VA�
Federal Way
RECEIVED ELECTRICAL
FEB 2 3 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER 1 (, _ -) 7 6
0 _
SITE ADDRESS: 33 3 3 -7 -421v LJ
SUITE/UNIT/SPACE #
PROJECT VALUATION
$
ASSESSOR'S TAX/PARCEL #
�f' ( 7 C�- �0��
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
WA
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
MO jh4 M ej> ELS /
PRIMARY PHONE
(�ZS) a 24 - 4 / Z
MAILING ADDRESS
153z)9 �E 2sT" sT
E-MAIL
Q-6cAMM/P(,WWc,-
CITY
34EU-evcrc
STATE
w r+
I ZIP
911 C3 ,7
FAX
ELECTRICAL
CONTRACTOR
NAME
04 -D
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
A
APPLICANT
NAME
CX4-J At 6
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l ) -
PROJECT CONTACT
NAME d G w I_ V r C
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 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 apart of this application.
SIGNATURE:
PRINT NAME:
L C..ArYI i A,-
z/z3 /=I(D
Bulletin # 160 — January 1, 2013 Page 1 of 2 UHandoutsTlectrical Permit Application
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