16-104909FILE ''
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LEWIS
Project Address: 31418 28TH PL SW
Project Description: Circuit for gas furnace
Electrical
Permit #:16- 104909 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 150330 0180
Owner
Applicant
Contractor
EDWARD C LEWIS
CYNDAL MILLHOLLINNORTHWEST
PACIFIC AIR SYSTEMS (ELECTRICAL
31418 28TH PL SW
PERMIT / WESCO
02)
FEDERAL WAY WA 98023
1345 W GULF RD
PACIFAS853LB (6/2117)
POINT ROBERTS WA 98281
12811 PACIFIC HWY S
LAKEWOOD WA 98023
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
a4 a s 1 r ! k f
Circuits - Residential
PERMIT EXPIRES Tuesday, 10 October, 2017
Permit Issued on Monday, October 10, 2016
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:
ONLINE
rirrlgLEp
THIS CARD IS TO REMAIN ON -SITE
�� Way THIS
Inspection Record
y INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16104909 00
Address: 31418 28TH PL SW
Project: BEVERLY A LEWIS FEDERAL WAY WA 98023 -7837
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.
n
UFER Ground (4295)
2
Ditch cover (4030)
®
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
n
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)
1 1 ®
Ceiling Cover (4020)
Approved
Approved
Approved .
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
pproved
By Date ,
r Ire
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date