12-105238City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHELTON
Project Address: 29826 10TH AVE SW
ElectAeal
Permit #: 12 -105238 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 195460 0211
Project Description: Installing a new 200 amp panel and rewire existing single family residence to code as per
inspector's report on Permit # 12 -103912 -00 -SF.
Owner
Apl2licant
Contractor
PAUL SHELTON
LYNDA CHAMBERLIN
EVERGREEN STATE ELECTRIC INC
2982610TH SW
EVERGREEN STATE ELECTRIC INC
EVERGSE066JA (4/1/14)
FEDERAL WAY WA 98003
2105 INTER AVE SE SUITE A
PO BOX 849
PUYALLUP WA 98372
SUMNER WA 98390
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Sunday, November 16, 2014
Permit Issued on Friday, November 16, 2012
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
�yand the City of Federal Way.
IL 0 F
Owner or agent: ■ ■ N Date:
s ■ V IIIA
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -105238 -00 -EL Address: 29826 10TH AVE SW
Project: PAUL SHELTON 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.
E]
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Pool Bonding (4195)
E]
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
Ceiling Cover (4020)
E]
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
V4,v, Date rX _ 1
By
Date
Final - Electrical (4055)
Approved
Date
V:ILEF
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date