16-105879City y Federal Way ' AM
Community Development Dept.
33325 M Ave S LE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835 -2609
Project Name: MOSS
Project Address: 640 S 295TH PL
Project Description: Provide circuit for air conditioner
'i s
Electrical
Permit #:16- 105879 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 515210 0080
Owner
Applicant
Contractor
KURT FAIRBANKS HAGGARDT MOSS
DAVID BRADSHAWALL SEASONS INC
ALL SEASONS INC (ELECTRICAL)
640 S 295TH PL
4851 S S 4851 S WASHINGTON ST ST
ALLSEI *035N5 (8/26117)
FEDERAL WAY WA
TACOMA WA 98409
4851 S WASHINGTON ST
98003
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Circuits - Residential 2 Thermostat
1
PERMIT EXPIRES Thursday, 14 December, 2017
Permit Issued on Wednesday, December 14, 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: b ' IN I Date:
-� r s."
flt,ALE'D
THIS CARD IS TO REMAIN ON -SITE
«op Construction Inspection Record
FedP l Way INSPECTION REQUESTS: (253) 835 -3050
PERMTI` #: 16105879 00 Address: 640 S 295TH PL
-
Projeek PATRICIA ANN MOSS FEDERAL WAY WA 98003-3614
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.
0
LIFER Ground (4295)
0
Ditch cover (4030)
0
Slab /Concrete Floor (4255)
0
Approved
IBY
Approved
IBY
Approved to place concrete
By-
Date
By
Date
By
- - Date
Q
Pool Boading (4195)
®
Temporary Power (4275)
®
Service (4235)
0
Approved
Illy
Approved
Approved
By
Date .
By
Date
By
Date
0
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
Ceiling Cover (4020)
0
Approved
Illy
Approved
I
Approved
By
Date
Approved
Date
By
Date
14 Final - Electrical (4055)
Approved
By WV► °' Date (ice la1 t(i
0
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date