18-102139l
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253)835-2609
Project Name: PREMIUM MORTGAGE
Project Address: 30737 12TH PL SW
Project Description: Service Change
Electrical
FILE Permit #:18 -102139 -00 -EL
Inspection Request Line. (253) 835-3050
Parcel Number: 178830 0175
Owner
Applicant
Contractor
PREMIUM MORTGAGE
DAVID HERMESA & D ELECTRICAL
A & D ELECTRICAL SERVICES INC
120 SOUTH SIXTH STREET SUITE 2100
SERVICES INC
ADELESI972DK (3/25/19)
MINNEAPOLIS MN 55402
6503 34TH AVENUE CT E
USA
TACOMA WA 98443
6503 34TH AVENUE CT E
TACOMA WA 98443
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1 Mast or Meter Repair (Resider. 1
PERMIT EXPIRES Friday, 24 May, 2019
Permit Issued on Thursday, May 24, 2018
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:
f . I_.
THIS CARD IS TO REMAIN ON-SITE
erne Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102139 00 Address: 3073712TH PL SW
Project: PREMIUM MORTGAGE FEDERAL WAY WA 98023-8231
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.
0
UFER Ground (4295)
Q
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approval to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
I
Approved
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approval
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date