16-1009504
- 'Mectrical
City of Federal Way- Permit #: 16 -100950 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Request Line: 253ection
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Ins p ) 835-3050
Project Name: LEISY
Project Address: 30234 25TH AVE SW Parcel Number: 893760 0030
Project Description: (2) circuits to replace 3 ton gas furnace and install 3 ton air conditioner
Owner
A I� cani
Contractor
RICHARD A LEISY
NORTHWEST PERMIT/ WESCO
PACIFIC AIR SYSTEMS (ELECTRICAL)
JACKLYN R LEISY
1345 W GULF RD
PACIFAS853LB (6/2/17)
30234 25TH AVE SW
POINT ROBERTS WA 98281
'12811 PACIFIC HWY S
FEDERAL WAY WA
LAKEWOOD WA 98023
98023
Additional Permit Information
Electrical Work Valuation?....................................605 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 2
PERMIT EXPIRES Tuesday, February 212017
Permit Issued on Monday, February 22, 2016
1 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
,
and the City of Federal Way.
3e".
Owner or agent: F=a Date: -3 —1 df—1
CITY CW 7 AO ,
Federal Way
PERMIT #:
16 -100950 -00 -EL
THIS CARD IS TO MAIN ON-SITE -
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 30234 25TH AVE SW
Project: RICHARD A LEISY FEDERAL WAY, WA 98023-2316
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.
Pool Bonding (4195)
LIFER Ground (4295)11
Temporary Power (4275)
Ditch cover (4030)
Final Electrical
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
1:1Approved
Final Electrical
Service (4235)
Approved
Right of Way
Approved
Date
Approved
By Date
By
Date
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
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date