16-100197City of Federal Way
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 1`6-100197=0& EL '
Inspection Request Line: - (253) 836-3050
Project Name: CIEREBIEJ a `r
Project Address: 254 SW 297TH ST Parcel Number: 720531 0060
Project Description: ADDED CIRCUIT FOR A 3 TON AC UNIT
Owner
EDWARD CIEREBIEJ
ARRlicant
RACHEL HANSON
Contractor
MERIDIAN CENTER ELECTRIC INC
MARY CIEREBIEJ
MERIDIAN CENTER ELECTRIC
MERIDCE318SG (2/28/17)
PO BOX 23718
11109 66TH AVE E
11109 66TH AVE E
FEDERAL WAY WA
PUYALLUP WA 98373
PUYALLUP WA 98373
98093
Additional Permit information
Electrical Work Valuation?.................................:..300 Is this an Online or O.T.C. application?.................Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Wednesday, July 13, 2016
Permit Issued on Friday, January 15, 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
and the City of Federal Way.
Owner or agent: Date:
ONLINE
Aii�ofc,�, .
Federal Way
• THIS CARD IS TOIN ON-SITE
Construction In rection Record
INSPECTION REQUE(253) 835-3050
PERMIT #: 16 -100197 -00 -EL Address: 254 SW 297TH ST
Project: EDWARD CIEREBIEJ FEDERAL WAY, WA 98023-3551
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)11
Slab/Concrete Floor (4255)
11
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
1:1Final
Pool Bonding (4195)
Temporary Power (4275)11
11
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
IAA Date -x.((b
1b
1:1Final
Rough Electrical
Approved
Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date