14-101278r �
ARRIlcant
City of Federal Way
ev. Servi
Community &Econ. ces
THOMAS J VANDERARK
33325 8th Ave S
FILE
Federal Way, WA 98003
616 SW 293RD ST
Ph: (253) 835-2807 Fax (253) 835.2609
616 SW 293RD ST
Project Name: VANDERARK
Project Address: 616 SW 293RD ST
Project Description: wing remodel rewire
0
16ectrical
Permit #: 14 -101278 -00 -EL
Inspection Request Line: (253) 835-3060
Parcel Number: 119600 0485
Owner
ARRIlcant
Contractor
THOMAS J VANDERARK
KAREN VANDER ARK
OWNER IS CONTRACTOR
KAREN F VANDERARK
616 SW 293RD ST
616 SW 293RD ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023-3538
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
No Fixtures Assockied With This Permit It
PERMIT EXPIRES Tuesday, September 16, 2014
Permit Issued on Thursday, March 20, 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
1:1
i ural Way.
Owner or agent: Date:
THIS CARD IS TO ON-SITE
CUT OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14101278 -00 -EL Address: 616 SW 293RD ST
Project: THOMAS J VANDERARK FEDERAL WAY, WA 98023-3538
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.
FILE
UFER Ground (4295)Ditch
cover (40 30)
Temporary Power (4275)
Slab/Concrete Floor ( 55)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
FILE
Pool Bonding (4195)
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date _.1 `
By
Date
Final - Electrical (4055)
Approved
By
Date
FILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date