09-104118 E•
lectrical
City of Federal Way ��.{{ Q +
Community Development Services Permit #: 09-104118-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 g it r ctrl wife Inspection Request Line: (253)835-3050
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Project Name: ST THERESA' AR LE
Project Address: 3939 SW 331ST ST Parcel Number: 142103 9031
Project Description: Adding/altering (5)circuits for new lighting at fellowship hall
Owner Applicant Contractor
COVENTRY PARTNERSHIP PS MELANIE BROOM ELECTRIC SYSTEMS LLC
3939 SW 331ST ST Electric Systems LLC ELECTSL979KE(5/5/11)
FEDERAL WAY WA 5011 S BURLINGTON WAY CIR SUITE A PO BOX 1982
98023-2638 TACOMA WA 98409 SUMNER WA 98390
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Additional Permit Information
Is Use Educational or Institutional') No Service greater than 1000 Amps' No
3 ®: ical Fixtures :
Circuits-Commercial 5
PERMIT EXPIRES Wednesday, October 20, 2010
Permit Issued on Tuesday, October 20, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the - will be in accordance with the laws, rules and regulations of the State of Washington
Wand the City of Federal Way.
Owner or agent: Ft , L � Date:
; -02 v -- � 7
THIS CARD IST EMAIN ON-SITE
CITY OF w • Construction Ipection Record
Federal INSPECTION REQUESTS: (253) 835-3050 '
PERMIT#: 09-104118-00-EL Address: 3939 SW 331ST ST
Owner: COVENTRY PARTNERSHIP PS FEDERAL WAY, WA 98023-2638
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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 'l Temporary Power(4275) Di Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved-'6:L. /�
Date 0—Z "/
PIN
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date