16-105477,.. R _ w •
Electrical
CttyyDevelopment Permit #:16- 105477 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 9W3 FILE Inspection Request Line: (253) 835 -3050
Ph: (253) 835-2607 Fax: (253) 835 -2609
Project Name: CLARK
Project Address: 30255 25TH AVE SW Parcel Number: 893760 0180
Project Description: LOW VOLTAGE FOR CONTROL
Owner
Applicant
Contractor
PATRICIA CLARK
SARAH TURNERGLENDALE HEATING &
GLENDALE HEATING & A/C (GENERAL)
30255 25TH AVE SW
A/C
. GLENDHA053Q2 (11/2/17)
FEDERAL WAY WA 98023 -2316
12462 DES MOINES WAY S
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168 -2266
SEATTLE WA 98168 -2266
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Low Voltage - Other (Resident 1 Thermostat 1
PERMIT EXPIRES Thursday, 16 November, 2017
Permit Issued on Wednesday, November 16, 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:
r-mALED
. os 4Aii�
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16105477 00 Address: 30255 25TH AVE SW
Project: LESLIE H CLARK FEDERAL WAY WA 98023 -2316
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)
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
0
Approved
rBy
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
0
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
Final Electrical
Ceiling Cover (4020)
0
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
B Date (-7— l2-- (
Rough Electrical
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date