17-104444City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
FILE
Project Name: MORTENSEN
Project Address: 34031 22ND PL SW
Project Description: Lights, switches. Outlets for 384 square foot addition
Electrical
Permit #:17 -104444 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 330630 0180
Owner
Applicant
Contractor
CAROLE M MORTENSON
CAROLE MORTENSEN
OWNER IS CONTRACTOR
34031 22ND PL SW
34031 SW 22ND PL
FEDERAL WAY WA 98023-7703
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application ................ Yes
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Circuits - Residential 2
PERMIT EXPIRES
Permit Issued on�rr
. Snc I hereby certify that the above inform
and the occupancy and th4p§e a
Owner or agent:
•
4
-OCIL
';/44 V
used ,18 Septem , 2018
n , Septemb 1 17
and that the truction on the above described property
in wit laws, rules and regulations of the State of
he of deral Way.
Date:
4'
r
Crry OF
Federal Way
THIS CARD IS TO REMAIN ONSITE � •
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-30M
PERNIIT #: 17104444 00 Address: 3403122ND PL SW
Project: CAROLE M MORTENSON FEDERAL WAY WA 98023-7703
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.
El
UFER Ground (4295)
®
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
1By
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Ekctrical (4225)
F11 Ceiling Cover (4020)
Approved
1By
Approved
Approved
113y
By
Date
Approved
W* Date 111Z411-7
JBy
Approved
Date
® Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
JBy
Approved
By
Date
By
Date
Date
• A � 1
CITY OF Building Division
� Federal Wa 33325 Eighth Avenue South
Y Phone Fe253-deral Way, WA 98003-6325
835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 2 u on t PERMIT#: rl- t ZL%�
IR tPe v e
IF YOU HAVE QUESTIONS CALL (253) 835- *4,6 �._-T
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
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