15-106026Project Name: BERGMAN
Project Address: 33011 37TH CT SW
Project Description: Electric panel change to 200 amp
• Eleetpical
Permit #: 15 -106026 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873213 0660
Owner
ARRIlicant
Contractor
JEFFREY C BERGMAN
City of Federal Way
OWNER IS CONTRACTOR
Community & Econ. Dev. Services
33325 8th Ave S
33011 37TH CT SW
W
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BERGMAN
Project Address: 33011 37TH CT SW
Project Description: Electric panel change to 200 amp
• Eleetpical
Permit #: 15 -106026 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873213 0660
Owner
ARRIlicant
Contractor
JEFFREY C BERGMAN
JEFFREY BERGMAN
OWNER IS CONTRACTOR
DEANNA N BERGMAN
33011 37TH CT SW
33011 37TH CT SW
FEDERALWAY WA 98023
FEDERAL WAY WA 98023-2617
Additional Permit Information
Electrical Work Valuation?....................................1200
Is Use Educational or Institutional? ....................... No
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ...................... 42
PERMIT EXPIRES Sunday, May 29, 2016
Permit Issued on Tuesday, December 1, 2015
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
and the City of Federal Way.
Owner or agent: nK11 I KIDate:
THIS CARD IS TO MAIN ON-SITE '
C,listuction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
15 -106026 -00 -EL Address: 33011 37TH CT SW
JEFFREY C BERGMAN FEDERAL WAY, WA 98023-2617
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.
Final - Electrical (4055)
Approved
By Date 2
UFER Ground (4295)
E]
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 2
Pool Bonding (4195)
0
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
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 2
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
IDate
By
Date