14-100478Project Name: COLLINS
Project Address: 32807 12TH AVE SW
Electrical
Permit #: 14 -100478 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 9264941040
Project Description: Adding/altering up to (4) circuits for associated residential addition
Owner
lican
City of Faderal4ftj
JEROME COLLINS
Community & Econ. Dev. Services
OWNER IS CONTRACTOR
33325 8th Ave S
3280712TH AVE SW
Federal Way, WA 98003
FEDERAL WAY WA 98023
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: COLLINS
Project Address: 32807 12TH AVE SW
Electrical
Permit #: 14 -100478 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 9264941040
Project Description: Adding/altering up to (4) circuits for associated residential addition
Owner
lican
Contractor
JEROME COLLINS
JEROME COLLINS
OWNER IS CONTRACTOR
32807 12TH AVE SW
3280712TH 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 f=ixtures
Circuits - Residential ...................... 4
PERMIT EXPIRES Tuesday, July 29, 2014
Permit Issued on Thursday, January 30, 2014
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
ddtthee City of Federal Way.
Owner or agent: Date: Z,f�
r .F
CITY OF
Federal a
PERMIT #:
Project:
THIS CARL) IS TO I&MAIN ON-SITE
10 Construction Inection Record,
INSPECTION REQUE TS: (253) 835-3050
14 -100478 -00 -EL Address: 32807 12TH AVE SW
JEROME COLLINS FEDERAL WAY, WA 98023-5203
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)
0
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
AJ Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date