21-101495a__ s
City of Federal Way
Community Development Dept
33325 3th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BUCHANAN
Project Address: 30214 4TH PL SW
Project Description: septic pumping system
Electrical
Permit #:21-101495-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 327610 0110
Owner
Applicant
Contractor
V T BUCHANAN
WILL GILLISPIERIVERTON ELECTRICAL
Rl VERTON ELECTRICAL SERVICES
30214 4TH PL SW
SERVICES LLC
RIVERES851LA (6/2/21)
FEDERAL WAY WA
4116 S 131ST ST
4116 S 131 ST ST
98023-3910
TUKWILA WA 98168
TUKWILA WA 98168
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Electrical Fixtures
Circuits - Residential 2
CONDITIONS:
Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump. New septic & effluent tanks containing electrical wires and equipment MUST be
inspected and approved PRIOR to being loaded with sewage. (Per 296-46B-501-001(1))(7)WAQ
PERMIT EXPIRES Friday, 15 April, 2022
Permit Issued on Thursday, April 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
Washington and the City of Federal Way.
Owner or agent:
Date
F 1�_�
ONLINE
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101495 00
Address: 30214 4TH PL SW
Project: V T BUCHANAN
FEDERAL WAY WA 98023-3910
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.
UFER Ground (4295)
0
Ditch cover (4030)
❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
ByI�Z
Date _
By Date
❑
Pool Bonding (4195) ❑
Temporary Power (4275) ❑ Service (4235)
Approved
Approved Approved
By
Date By
Date By Date
❑ ❑ ❑
Feeders/Sub-panels (4045)
Rough Electrical (4225) Ceiling Cover (4020)
Approved
Approved Approved
By
Date Sy
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