21-100429City of Federal Way
Coimnunity Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HENDERSON
Project Address: 527 S 323RD ST
Electrical
FILFPermit #:21-100429-00-EL
Inspection Request Line: (253) 835-3050
Project Description: REPLACE 100 AMP ELECTRICAL PANEL
Parcel Number: 132151 0640
Owner
Applicant
Contractor
DANIEL HENDERSON
KAREN MATHENEYWASHINGTON
WASHINGTON ENERGY SERVICES CO
527 S 323RD PL #18H
ENERGY SERVICES CO
(ELECTRICAL 01)
FEDERAL WAY WA
3909 196TH ST SW
WASHIES854NG (9/7/21)
98003-5852
LYNNWOOD WA 98036
3909 196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
ElectricaIrFixtures
Alt. Serv./Feeder: 0 to 200 aml I !
UiionXis
F
d � February, 2022
day, ruary 4, 2021
I hereby certify that the abrect 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
f� gt and h CiLedefal Way.
�.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF ` �� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100429 00 Address: 527 S 323RD ST Unit H
Project: DEBBIE R HENDERSON FEDERAL WAY WA 98003-5807
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE T111S CA11D. 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 (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
El
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date