15-106569Electrical
Commty&E�,.owaseN,ces i Permit #: 15 -106569 -00 -EL
33325 8th Ave S
W
Federal Way, WA 98003 FILE Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 p q
Project Name: HOLTZ
Project Address: 32865 40TH CT SW
Project Description: Low volt tstat wire with furnace replacement
Parcel Number: 873204 0690
Owner
DAVID M HOLTZ -
A DIR icant
JAMES GOSNELL
Contractor
BOB'S HEATING & A/C INC (ELECTRICAL)
GRETA E HOLTZ
BOB'S HEATING & A/C INC
BOBSHHC862C4 (2/24/16)
32865 40TH CT SW
13633 NE 126TH PL SUITE 350
13633 126TH PL NE SUITE 350
FEDERAL WAY WA 98023-2623
KIRKLAND WA 98034
KIRKLAND WA 98034
Additional Permit Information
Electrical Work Valuation?................:...................100 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.....:.................No
Electrical Fixtures
Thermostat ..................................... 1
PERMIT EXPIRES Tuesday, June 28, 2016
Permit Issued on Thursday, December 31, 2016
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
0 and the Ci of Federal Way.
Owner or agent: Date:
C r-eDF OA�'
Federal Way
PERMIT #:
15 -106569 -00 -EL
THIR CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 32865 40TH CT SW
Project: DAVID M HOLTZ FEDERAL WAY, WA 98023-2623
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
El
UFER Ground (4295)
Ditch cover (4030)
0
Slab/Concrete Floor (4 55)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
By
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
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
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date