11-103697o ' City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SIMON
• �. . Electrical
Per it #: 11 -103697 -00 -EL
Project Address: 32633 11TH AVE SW
Inspection Request Line: (253) 835-3050
Project Description: Adding/altering (1) circuit and (1) T-Stat - 30amp HVAC circuit
Parcel Number: 926494 0920
Owner
Applicant
Contractor
AGNES ANN SIMON
JONAH BELL
ARTISAN PREMIER ELECTRICAL INC
32633 11TH AVE SW
ARTISIAN PLUMBING AND ELECTRICAL
ARTISPE893LT (6/30/13)
FEDERAL WAY WA
25724 SE 432ND ST
718 GRIFFIN AVE PMB 342
98023-4926
ENUMCLAW WA 98022
ENUMCLAW WA 98022
Is Use Educational or Institutional?.......................No
a�.x, ti /M 56 �
Circuits - Residential ...................... 1 Thermostat..................................... 1
PERMIT EXPIRES Thursday, September 13, 2012
Permit Issued on Wednesday, September 14, 2011
I hereby certify that t above information is correct and that the construction on the above described property and
the occupancy an a se will be ip accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
FINA-U,2> qIV1111
AIL •
< 1*IIIS CARD IS TCO MAIN ON-SITE
CITY OF10;:�N Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -103697 -00 -EL Address: 32633 11TH AVE SW
Project: AGNES ANN SIMON FEDERAL WAY, WA 98023-4926
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.
F I
El
UFER Ground (4295)Ditch
cover (4030)
E]
Slab/Concrete Floor (4255)
Approved
By
Approved
Temporary Power (4275)Service
Approved to place concrete
By
Date
By
Date
By
Date
F I
El
1:1Pool
E]
Right of Way
Approved
By
Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Date
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Fin ectrical (4055)
Approved
y
Date
F I
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date