13-104667City of Federal Way
Community &Econ. Dev. Services
A lic n
Contractor
33325 8th Ave S
BEN HAYNES
FILE
Federal Way, WA 98003
29834 10 AVE SW
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA 98023
Electrical
Permit #: 13 -104667 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: HAYNES x.714
Project Address: 29834 10TH AVE SW Parcel Number: 195460 0200
Project Description: Upgrade breaker box and circuit breaker switches.
Owner
A lic n
Contractor
BEN HAYNES
BEN HAYNES
OWNER IS CONTRACTOR
2983410TH AVE SW
29834 10 AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 40 Mast or Meter Repair (Residential/ 1 Thermostat..................................... 1
PERMIT EXPIRES Sunday, April 20, 2014
Permit Issued on Tuesday, October 22, 2013
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:
�s ,
«x'40
Federal Way
THIS CARD IS TO MAIN Oli-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -104667 -00 -EL Address: 29834 10TH AVE SW
Project: BEN HAYNES FEDERAL WAY, WA 98023-8206
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.
0
LIFER Ground (4295)
Ditch cover (4030)
13
Slab/Concrete Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
E]
Temporary Power (4275)
Date I—�h e
Approved
Ceiling Cover (4020)
By
Approved
By
Date
Date
By
Date
Date
E]
Feeders/Sub-panels (4045)
El
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
4,
Service (4235)
Approved
By C,
Date I—�h e
M
Ceiling Cover (4020)
By
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
M
Right of Way
Approved
By
Date
By
Date
By
Date