16-1009571 "' 0 0 " Electrical
Community & Econ. Deof Federalv. Services Permit #: 16 -100957 -00 -EL
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: SHOLBERG mom
Project Address: 30209 33RD AVE SW Parcel Number: 012103 9052
Project Description: 0-200 amp service for generator install
Owner
ARRIIcant
Contractor
DONALD E SHOLBERG
ERIC JOHNSON
WASHINGTON ELECTRIC LLC (GENERAL)
VELMA M SHOLBERG
WASHINGTON ELECTRIC LLC
WASIBEL879BW (1/16/17)
30209 33RD AVE SW
14404 SE 216TH ST
14404 SE 216TH ST
FEDERAL WAY WA
KENT WA 98023
KENT WA 98042
98023
Additional Permit Information
Electrical Work Valuation?....................................2000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, February 21, 2017
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
d t e i deral Way.
Owner or agent: Date:
C,TY CW OA��
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE ,
Construction In ction Record
-INSPECTION REQU TS: (253) 835-3050
16 -100957 -00 -EL Address: 30209 33RD AVE SW
DONALD E SHOLBERG FEDERAL WAY, WA 98023-2322
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 (4295)Ditch
E]
cover (4030)
Slab/Concrete Floor (4255)
(4235)
Approved
Final Electrical
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)Service
(4235)
Rough Electrical
Approved
Final Electrical
Approved
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Ceiling Cover (4020)
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
c Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date