15-103657u
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253)835 -2607 fax: (253) 835 -2609
� FILE
Electrical
Permit #: 15- 103657 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: SIBURG
Project Address: 806 S 295TH PL Parcel Number: 515210 0060
Project Description: Low voltage in conjunction with air conditioning installation
Owner
JIM SIBURG
egOjicant
SARAH TURNER
Contractor
GLENDALE HEATING & A/C
JEANNETTE SIBURG
GLENDALE HEATING & A/C
(ELECTRICAL)
806 S 295TH PL
12462 DES MOINES WAY S
GLENDHAO03CM (2/14/16)
FEDERAL WAY WA 98003 -3703
SEATTLE WA 98168 -2266
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168 -2266
Is this an Online or O.T.C. application ? .................Yes
Electrical Filatures
Low Voltage - Other (Residential). 1
Is Use Educational or Institutional ? .......................No
PERMIT EXPIRES Saturday, January 23, 2016
Permit Issued on Monday, July 27, 2015
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:
-� Ajvk"--�'
- , 1IIS CARD IS TOOMAIN ON-SITE -,
CITY OF ;Mpr�A���,.. Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 15- 103657 -00 -EL Address: 806 S 295TH PL
Project: JIM SIBURG FEDERAL WAY, WA 98003 -3703
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)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date cj _ _ 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date