16-105785A.
Electrical
City of Federal
Development Permit #:16- 105785 -00 -EL
"Carnnwoity Development Dept.
33325 &h Ave S
Feckral Way, WA 98003 ' Inspection Request Line: (253) 835 -3050
Ph: (253)835 -2607 Fax: (253)835 -2609
— F
Project Name: DECKER
Project Address: 28833 21ST AVE S Parcel Number: 422280 0050
Project Description: Electrical connection for gas to .gas furnace
Owner
Applicant
Contractor
THOMAS M DECKER
JAIMIE HOWBRENNAN HEATING & A/C
BRENNAN HEATING & A/C LLC
28833 21ST AVE S
4601 S 134TH PL
(ELECTRICAL 01)
FEDERAL WAY WA 98003 -3840
SEATTLE WA 98168
BRENNHA962DU (3/31/18)
4601 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Circuits - Residential 1 Thermostat
1
PERMIT EXPIRES Thursday, 7 December, 2017
Permit Issued on Wednesday, December 7, 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: No N Date:
urr or VZ&
Federal Way
PERMIT #: 16 105785 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 28833 21ST AVE S
. . 4
Project: THOMAS M DECKER FEDERAL WAY WA 98003 -3840
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.
El
UFER Ground (4295)
n
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
E]
Approved
113Y
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
5
Temporary Power (4275)
®
Service (4235)
E]
Approved
113Y
Approved
Approved
By
Date
By
Date
By
Date
1O Final - Electrical (4055)
Approved
By Q- Date
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
E]
Approved
Approved
Approved
By
Date
By
Date
By
Date
1O Final - Electrical (4055)
Approved
By Q- Date
Rough Electrical
Final Electrical
E]
Right of Way
Approved
Approved
Illy
Approved
By
Date
By
Date
Date