12-100413r.
City of Federal Way
Community &Econ. Dev. Services FILE
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: VALLEY HARVEST
Project Address: 28855 MILITARY RD S
Project Description: Repair/replace circuits in in-store bakery
• Electrical
Permit #: 12 -100413 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9037
wne
Applicant
Contractor
EXECUTIVE HOUSE INC
STEVE MARX
GOLDEN T CONSTRUCTION LLC
7517 GREENWOOD AVE
GOLDEN T CONSTRUCTION LLC
GOLDETC941RQ (12/18/12)
232 SW 43RD ST
22630 88TH AVE W
SEATTLE WA 98103
RENTON WA 98057
EDMONDS WA 98026
Is Use Educational or Institutional?.......................No
Circuits - Commercial .................... 7
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, January 29, 2014
Permit Issued on Monday, January 30, 2012
I 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 ity eral WanN�y.
Owner or agent: Date:
Aw . THIS CARD IS TO REMAIN ON-SITE
CITY OF ®--�= Construction I ection Record
Federal Way
INSPECTION RE VESTS: 253 835-3050
yQ O
PERMIT #: 12 -100413 -00 -EL Address: 28855 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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)
UFER Ground (4295)
Temporary Power (4275)Service
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E:]
Temporary Power (4275)Service
Final Electrical
Approved
(4235)
Approved
Right of Way
Approved
Approved
Date
Approved
By Date
By
Date
Date
By
Date
❑
❑
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By C\ Date ) —`I'D 1
FILA
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date