22-104721� r 1
1- I
Electrical
City niryDe Federal Development
FILE
Permit #:22-104721-00-EL
Community Development Dept -
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CORTEZ
Project Address: 28632 21STAVES Parcel Number: 422200 0070
Project Description: ADD CIRCUIT FOR TANKLESS WATER HEATER REPLACEMENT AND RELOCATE
Owner
Applicant
Contractor
DAVID CORTEZ
KAREN MATHENEYWASHINGTON
WASHINGTON ENERGY SERVICES CO
28632 21ST AVE S
ENERGY SERVICES CO
(ELECTRICAL 01)
FEDERAL WAY WA
3909 196TH ST SW
WASHIES854NG (9/7/23)
98003
LYNNWOOD WA 98036
3909 196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Is this an Online or O.T.C. application?........... .... — Yes
Electrical Fixtures
Circuits - Residential 1
PERMIT EXPIRES Tuesday, 11 April, 2023
Permit Issued on Thursday, October 13, 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 will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
J
Owner or agent:—() l Date:
lft�k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104721 00 Address:
Project: BEVERLY L CORTEZ
28632 21ST AVE S
FEDERAL WAY WA 98003-3339
Scheduled inspections may be failed if this card is not on -site.
DO NOT LOSE TlllS 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.
1❑
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) ❑
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
Approved
By
Date By
Date
By Date
9fl
Final - Electrical (4055)
By
Elate /0�2�f
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date