09-102355z City of Fede,,al Watt
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BUCKHOLZ
Project Address: 1058 S 316TH ST
7..( o� 0 • , ~ , Etectrical
Permit #: 09- 102355 -00 -EL
Joe Inspection Request Line: (253) 835 -3050
Parcel Number: 858800 0360
Project Description: 100 amp service change, 30 amp branch circuit for a/c, 20 amp branch circuit for
microwave & 20 amp branch circuit for refrigerator.
Owner
Applicant
Contractor
VERLYN BUCKHOLZ
GARY JESSEN
ELECTRO SERVE
1058 SW 316TH CT
ELECTRO SERVE
ELECTS *922KK (5/12/10)
FEDERAL WAY WA 98003 -5331
14510 NE 20TH ST
13300 SE 30TH ST SUITE 105
BELLEVUE WA 98007
BELLEVUE WA 98005
Is Use Educational or Institutional ? ....................... No
Alt ,"der: 0 to 200
......I .............. 3
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Federal Way
PERMIT #: 09- 102355 -00 -EL
Owner: VERLYN BUCKHOLZ
THIS CARD IS TO MAIN ON -SITE
Construction I ection record
INSPECTION REQU TS: (253) 835 -3050
Address: 1058 S 316TH ST
FEDERAL WAY, WA 98003 -5331
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.
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
UFER Ground (4 95)
❑
Ditch cover (40 0)
By
Slab /Concrete Floor (4255)
By
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Pool Bonding (4195)
Approved
By
Date
By
Date
0
Feeders /Sub - panels (4045)
Approved
By
Date
Approved
Final - Electrical (4055)
Date
Approved
By
Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Temporary Power (4275)
Approved
By
Date
By
Date
0
Rough Electrical (4225)
Approved
By
Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Service (4235)
Approved
By
Date
Ceiling Cover (402 0)
Approved
By
Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date