15-100435,
Elec ricari
city �'�v.com& Federalm Permit #: 15 -100435 -00 -EL
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax (253) 835-2809 � a
Project Name: PETERSEN
Project Address: 30847 21ST AVE SW Parcel Number: 416760 0020
Project Description: low voltage tstat wire with furnace replacement
Owner
LOREN A PETERSEN
Anolicant
CHRISTIANA FLAJOLE
Contractor
BOB'S HEATING & A/C INC (ELECTRICAL)
30847 21ST AVE SW
BOB'S HEATING & A/C INC
BOBSHHC862C4 (2/24/16)
FEDERAL WAY WA
13633 NE 126TH PL SUITE 350
13633 126TH PL NE SUITE 350
98023
FEDERAL WAY WA 98034
KIRJUAND WA 98034
Addl i 'Pennit Infonnabon
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Thermostat ..................................... 1
PERMIT EXPIRES Monday, July 27, 2015
Permit Issued on Wednesday, January 28, 2015
I hereby certify that the above information is correct and that the construction on the above described properly and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
0� e f I Way.
Owner or agent Date:
Him &LED
Crier OF ',�&
Federal Way
TMS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -100435 -00 -EL Address: 30847 21 ST AVE SW
Project: LOREN A PETERSEN FEDERAL WAY, WA 98023-7802
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
UFER Ground ( 295)
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
Final Electrical
Approved
(4235)
By
Approved
Approved
Date
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
Final - Electrical (4055)
Approved
B
Date -Z�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date