23-101084City of Federal Way
Community Development Dept.
33325 8th Ave 5
FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CORNISH
Project Address: 30924 30TH AVE SW
Project Description: 240v 60 amp and low voltage
Electrical
Permit #:23-101084-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 167300 0860
Owner
Applicant
Contractor
CHAD CORNISH
ALEX BURKHARTEVERGREEN
EVERGREEN REFRIGERATION LLC
31044 30TH AVE SW
REFRIGERATION
(ELECTRICAL)
FEDERAL WAY WA 98023
727 S KENYON ST
EVERGRL813MA (7/1/23
SEATTLE WA 98108
727 S KENYON ST.
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1 Thermostat
PERMIT EXPIRES Tuesday, 29 August, 2023
Permit Issued on Thursday, March 2, 2023
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
and C ederal Way.
Owner or agent:
vIVLIIVt o„,
CITY Of
Federal Way
TMS CARD IS TO REAI-SIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TBIS C'.kRD. 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.
ELECTRICAL
❑
UFER Ground (4295)
Q
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
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Corer (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
t]
Final - Electrical (4055)
Approved
By
Date
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
:approved
By
Date
By
Date
By
pate
PLUMBING
❑
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date