14-104650t
T• _ 1b ,
W Electrical
City of Community&Econ. Federal
eWSeNices
33325 8th Ave S FILE Permit #: 14 -104650 -00 -EL
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p a
Project Name: VERDINE n9 4
Project Address: 117 SW 312TH PL Parcel Number: 555780 0140
Project Description: PANEL CHANGE
Owner
A nlicant
Contractor
BARBARA J VERDINE
PATTY FULLER
FULLER ELECTRIC (ELECTRICAL)
117 SW 312TH PL
FULLER ELECTRIC INC
FULLEEI027BK (1/12/16)
FEDERAL WAY WA
1220 SJ56TH ST SUITE A-5
37107 12TH AVE S SUITE A-5
98023-4639
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
E{eclilical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Monday, March 9, 2015
Permit Issued on Wednesday, September 10, 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: Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOfS:
MAIN ON-SITE
Construction Inection Record
INSPECTION REQ (253) 835-3050
14 -104650 -00 -EL Address: 117 SW 312TH PL
BARBARA J VERDINE FEDERAL WAY, WA 98023-4639
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)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date Ck
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 C� — 3
Rough Electrical
Approved
Final Electrical
Approved
M
Right of Way
Approved
By
Date
By
Date
By
Date