16-104225City of Federal Way
ARRIlican t
Community 8 Econ. Dev. Services
PAUL BROKAW
33325 8th Ave S
Federal Way, WA 98003
OLD TIME ELECTRIC INC
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FILE
Project Name: BROKAW/LAUNIUVAO
Project Address: 33112 33RD AVE SW
Project Description: Change out service panel
Electrical
Permit #: 16- 104225 -00 -EL
Inspection Request Line: (253) 835.3050
Parcel Number: 109976 0420
Owner
ARRIlican t
Contractor
PAUL BROKAW
DEBBY KROLL
OLD TIME ELECTRIC INC
FELICIA GASE LAUNIUVAO
OLD TIME ELECTRIC INC
OLDTIEI021LB (6/2/18)
33112 23RD AVE SW
5602 81ST ST E
PO BOX 39745
FEDERAL WAY WA 98023
PUYALLUP WA 98371
LAKEWOOD WA 98498
Additional Permit Information
Electrical Work Valuation ? ......... ...........................1795 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, August 29, 2017
Permit Issued on Monday, August 29, 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:
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
16- 104225 -00 -EL Address: 33112 33RD AVE SW
Project: PAUL BROKAW FEDERAL WAY, WA 98023 -2735
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 )
itch cover ( )
Temporary Power (4275)
Slab /Concrete Floor
11
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
11
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date %-A -1,.
Feeders/Sub- panels (4045)
❑
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date -mil b
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date