14-105779v I sw
1 -0
City of Federal Way
WILLIAM N BORJESON
Community & Econ. Dev. Services
MOUNTAIN VALLEY HEATING & A/C INC
33325 8th Ave S
MOUNTAIN VALLEY HEATING & A/C INC
Federal Way, WA 98003
FEDERAL WAY WA
Ph: (253) 835-2607 Fax: (253) 835-2609
FILF
Project Name: BORJESON
Project Address: 33427 41ST AVE SW
Project Description: Low Voltage Thermostat Wire
41 Electrical
Permit #: 14 -105779 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number. 327900 0230
Owner
ApRlicant
Contractor
WILLIAM N BORJESON
ANNE WILLIAMS
MOUNTAIN VALLEY HEATING & A/C INC
33427 41ST AVE SW
MOUNTAIN VALLEY HEATING & A/C INC
(ELECTRICAL)
FEDERAL WAY WA
13407 SE 339TH ST
MOUNTVH962DB (4/9/16)
98023-2918
AUBURN WA 98092
13407 SE 339TH ST
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Thermostat ..................................... 1
PERMIT EXPIRES Monday, May 4, 2015
Permit Issued on Wednesday, November 5, 2014
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: IL AJV'�" Date:
IkrG(
Cr,' of
Federal Way
TMS CARD IS A
ON-SITE
Construction ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -105779 -00 -EL Address: 33427 41ST AVE SW
Project: WILLIAM N BORJESON FEDERAL WAY, WA 98023-2918
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)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)Service
1:1Approved
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
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 S
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date