16-101918 e # i
•_ •
Electrical
Comm nicety&Econ Deof FedlvY Services Permit #: 16-101918-00-EL
33325 8th Ave S
Federal Way,WA 98003 FILE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line. (253)835-3050
Project Name: JENSEN
Project Address: 30623 3RD AVE S Parcel Number: 232970 0170
Project Description: Altering circuit for electric water heater replacement
Qwner Applicant Contractor
GARY JENSEN CYNDAL MILLHOLLIN PACIFIC AIR SYSTEMS(ELECTRICAL)
DENISE JENSEN NORTHWEST PERMIT/WESCO PACIFAS853LB(6/2/17)
26625 SE OLD BLACK NUGGET RD 1345 W GULF RD 12811 PACIFIC HWY S
ISSAQUAH,WA 98029 POINT ROBERTS WA 98281 LAKEWOOD WA 98023
Additional Permit Information
Electrical Work Valuation? 695 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Friday, April 21, 2017
Permit Issued on Thursday,April 21, 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 t ederal Way.
Owner or agent Date:
. THIS CARD IS TO ON-SITE '
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101918-00-EL Address: 30623 3RD AVE S
Project: GARY JENSEN FEDERAL WAY, WA 98003-4057
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.
O UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) '❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By C---1r ____- Date NA,...x( 4 j
.
▪ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
'By 0. L,...li Date �nicv-1 6
O Rough Electrical Final Electrical Q Right of Way
Approved Approved Approved
By Date By Date By Date
.