21-102367Electrical
City of Federal Way r'.'"'^. ! I
Community Development Dept Permit #.21-102 7- -
33325 Ave S
Federal Way,y, WA 98003 , ,E Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: 941 S 294TH PL C %) f
Project Address: 941 S 294TH PL Parcel Number: 515240 0100
Project Description: Panel work
Owner
Applicant
Contractor
DONACE CHILDS
SUSAN GORMLEY
OWNER
941 S 294TH PL
941 S 294TH PL
OWNER
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1 Mast or Meter Repair (Resider
PERMIT EXPIRES Wednesday, 15 June, 2022
Permit Issued on Tuesday, June 15, 2021
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
g an CpfoFederal Way.
Owner or agent:
'+J IV L I I V t Date:
CITY OF As�
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102367 00
Address:
941 S 294TH PL
Project: DONACE CHILDS
FEDERAL WAY WA 98003-3714
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TI11S 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.
in
UFER Ground (4295)
Q
Ditch cover (4030)
❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By Date
0 Pool Bonding (4195)
El Temporary Power (4275)
❑ Service (4235)
By
Approved
Date
By
Approved
Date
Approved /� I
By
El Feeders/Sub-panels (4045)
0 Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
10 Final - Electrical (4055)
pproved
By
Date�fr�
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date