22-103620City of Federal Way
:T3
Community Development Dept.
33325 8th Ave 5
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LIVERMORE
Project Address: 31625 42ND AVE SW
Project Description: Electrical Panel Upgrade
Electrical
Permit #:22-103620-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873198 2950
Owner
Applicant
Contractor_
BRETT LIVERMORE
BREW LIVERMORE
OWNER
31625 42ND AVE SW
31625 42ND AVE SW
OWNER
FEDERAL WAY WA
FEDERAL WAY WA 98023
98023-4017
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 200 Circuits - Residential 21
PERMIT EXPIRES Saturday, 4 February, 2023
Permit Isgued on Monday, August 8, 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
I�Yas ipgto ; Ndd efGity Of Federal Way.
}
Owner or agent: date:
C)" Or _,�k
Federal Way
PERMIT #: 22 103620 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 31625 42ND AVE SW
Project: JENNIFER LIVERMORE FEDERAL WAY WA 98023-4017
Scheduled inspections may be failed if this card is not on -site. 00 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. Can -going inspections are logged on the back of this card.
®
UFER Ground (4295)
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place Cancrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Q Feeders/Sub-panels (4045) 0 Rough Electrical (4225) Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
30 Final - Electrical (4055)
Approved By COA-Ti-1r5- Date Jf a
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
8y
Date
By
Date