18-1020821
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:18 -102082 -00 -EL
V i L Inspection Request Line: (253) 835-3050
Project Name: KORNBERG
Project Address: 5500 SW 315TH ST
Project Description: Upgrade existing electrical service
Parcel Number: 102103 9034
Owner
Applicant
Contractor
MARGARET KORNBERG
CHARLYNN LEIFSENJOHANSEN
JOHANSEN ELECTRIC INC (EL 01)
5500 SW 315TH ST
ELECTRIC INC
JOHANEI033KH (5/9/19)
FEDERAL WAY WA 98023-2036
16869 SW 65TH AVE SUITE 311
16869 SW 65TH AVE SUITE 311
LAKE OSWEGO OR 97035
LAKE OSWEGO OR 97035
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Wednesday, 15 May, 2019
Permit Issued on Tuesday, May 15, 2018
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: 1 1 I'F Date:
c� O `
Federal Way
PERMIT #: 18102082 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 5500 SW 315TH ST
Project: JACOB J KORNBERG FEDERAL WAY WA 98023-2036
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.
Q
UFER Ground (4295)
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
Approved
By
Date - �,
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
I
By
Date