11-102243 ` y Elctrlcal
City of Federal Way • •
11-102243-00-EL
Community Development Services Permit #:
P.O.Box 9718FILE
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: DOMZALSKI acl ).O
Project Address: 33016 MILITARY RD S Parcel Number: 152104 9137
Project Description: ADD/MODIFY 2 CIRCUTS,LOW VOLTAGE T-STAT
Owner Applicant Contractor
R&D DOMZALSKI KATIE DEPERSIO PUYALLUP HEATING&A/C(ELECTRICAL)
33016 MILITARY RD S PUYALLUP HEATING&A/C PUYALHC913L6(6/26/13)
FEDERAL WAY WA 98001 130 15TH ST SE 130 15TH ST SE
PUYALLUP WA 98372 PUYALLUP WA 98372
Is Use Educational or Institutional? No
rtures
Circuits.-,Residential 2 Thermostat 1
PERMIT EXPIRES Wednesday, June 6, 2012
Permit Issued on Tuesday, June 7, 2011
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
at and the City of Federal Way. '
Vt4tOwner or
Date:
Oagent:e ��
— i°S /64 I
THIS CARD IS TO MAIN ON-SITE .
CITY OF - Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102243-00-EL Address: 33016 MILITARY RD S
Project: R & D DOMZALSKI FEDERAL WAY, WA 98001-9636
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
.
0 Feeders/Sub-panels(4045) El Rough Electrical (4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By _ Date rl----S-- I (
FILE
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date