15-104695City of federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•
FILE
Project Name: WILLIAMSON
Project Address: 30011 4TH AVE SW
Project Description: Circuit for fireplace insert
10 Electrical
Permit #: 15 -104695 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720500 0040
Owner
ARRlican
Contractor
LA WILLIAMSON
NORTHWEST PERMIT/ WESCO
WASHINGTON ENERGY SERVICES CO
30011 4TH AVE SW
1345 W GULF RD
(ELECTRICAL)
FEDERAL WAY WA 98023-3515
POINT ROBERTS WA 98281
WASHIES854NG (9/4/17)
3909196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, March 13, 2016
Permit Issued on Tuesday, September 15, 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:
-�- Ll-�n
CITY OF 4;NV'
Federal Way
PERMIT #:
Project:
. THIS CARD IS TOAIN ON-SITE s
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -104695 -00 -EL Address: 30011 4TH AVE SW
LA WILLIAMSON FEDERAL WAY, WA 98023-3515
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.
E]
UFER Ground (4295)
❑
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date