11-104122'Electrical
City of Federal Way 0 0.
Community Development Services Permit #. 11 -104122-00-EL
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE* Inspection Request Line: (253) 835-3050
Project Name: BP MINI -MART
Project Address: 33520 21ST AVE SW Parcel Number: 132103 9098
Project Description: Install new dedicated circuit to Glacier Water Refill Machine
Owner
Applicant
Contractor
STEVE MATTHEW
ANA GUNTER
SOUTH SOUND ELECTRIC INC
PACIFIC CONVENIENCE & FUELS
SOUTH SOUND ELECTRIC INC
SOUTHSE957K5 (5/25/13)
2603 CAMINO RAMON SUITE 350
1894 SE SEDGWICK RD SUITE 104
1894 SE SEDGWICK RD
SAN RAMON CA 94583
PORT ORCHARD WA 98366
PORT ORCHARD WA 98366
Is Use Educational or Institutional?.......................No
Service greater than 999 Amps? .............................No
An
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Circuits - Commercial .................... 1
PERMIT EXPIRES Wednesday, October 10, 2012
Permit Issued on Tuesday, October 11, 2011
I hereby certify that the abov o o ec a hat the construction on the above described property and
the occupancy and the use f4or
aws, rules and regulations of the State of Washington
Ja ederal Way.
Owner or agent:
Afti.
Date:
�r
CITY OF
Federal Way
PERMIT #:
11 -104122 -00 -EL
THIS CARD IS TO ,MAIN ON-SITE
.Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 33520 21 ST AVE SW
Project: STEVE MATTHEW FEDERAL WAY, WA 98023-2874
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.
Final - Electrical (4055)
Approved
y Date d—z r'`(
FILE
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
y Date d—z r'`(
FILE
Pool Bonding (4195)
E]
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
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
y Date d—z r'`(
FILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date