15-104440«.
F
Electrical
City of Federal Way � �* ,,,{{,,�� ww ww ,��
Community & Econ. Dev. Services ILE.
Permit#: 15-1oal'a'1'a'FO�oo-EL
33325 8th Ave S
Federal Way;WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (Z
5) 835-3050
Project Name: 28TH AVE S @ S 304TH STREET INTERSECTION
Project Address: S 304TH ST Parcel Number:
Project Description: Installation of traffic signal, service, cabinet and lighting
Owner
ARnlicant
Contractor
CITY OF FEDERAL WAY
ROGER SHERWOOD
WEST COAST SIGNAL INC
33325 8TH AVE S
WEST COAST SIGNAL INC
WESTCCS8928G (11/21/15)
FEDERAL WAY WA 98003
20111 208TH AVE SE
20111208TH AVE SE
RENTON WA 98058
RENTON WA 98058
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educatio r Institutional? ....................... No
Service greater than 999 Amps? .............................No
�6
Electrical Fixtu
Circuits -Commercial ................... 5 New Service: 0 - 100 100
PERMIT EXPIRES Tu ay, March 1, 016
Permit Issue ay, Septind
015
hereby certify that the above informab is and that 1t1e con'on on the above described property and
the occupancy and the use will be in with the la regulations of the State of Washington
Owner or agent:
I
Date:
CITY OF 4A
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Co straction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -104440 -00 -EL Address: S 304TH ST
Project: CITY OF FEDERAL WAY ,
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 cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date , -
By Date
By Date
Pool Bonding (4195)
E]
Temporary Power (4275)
Service (4235)
Final Electrical
Approved
Approved
By
Date
Approved
By
Date
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
Final - Electrical (4055)
Approved
By
Date
E]
a
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
DATE
O.
ARE A AND TYPE OF INSPECTION
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