22-103254FILF
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: GOLDENMURST
Project Address: 29731 4TH AVE SW
Project Description: Wiring A/C
Electrical
Permit #:22-103254-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720510 0010
Owner
Applicant
Contractor
LAUREN GOLDEN
NIKOLA I MARTINOV
NICK'S ELECTRIC SERVICE LLC
29731 4TH AVE SW
620 N 202ND ST
NICKSES859RG (12/7/23)
FEDERAL WAY WA 98023
SHORELINE WA 98133
620 N 202ND ST
SHORELINE WA 98133
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential 1 Thermostat
PERMIT EXPIRES Saturday, 21 January, 2023
Permit Issued on Monday, July 25, 2022
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use wNbe'laccl
he laws, rules and regulations of the State of
n an i Federal Way.
Owner or agent:
Fes/
Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 103254 00 Address: 29731 4TH AVE SW
Project: BRIAN HURST FEDERAL WAY WA 98023-3512
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.
Q
UFER Ground (4295)
Ditch cover (4030)
®
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
0 Feeders/Sub-panels (4045) Q Rough Electrical (4225) El Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
Final - Electrical (4055)
Approved
By J/ Date 17-,46
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date