12-1005271
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name:
•A Electrical
Per>let #: 12 -100527 -00 -EL
Inspection Request Line: (253) 835-3050
F
Project Address: 4237 SW 323RD ST
Project Description: Installation of transfer switch for generator.
aIgGL
Parcel Number: 873202 0710
Owner
Applicant
Contractor
DUANE & RIVA BJORKLUND
A'LECTRICIAN LTD
A'LECTRICIAN LTD
4237 SW 323RD ST
PO BOX 1851
ALECTL*9560 (2/13/13)
FEDERAL WAY WA 98023-2495
AUBURN WA 98071
PO BOX 1851
AUBURN WA 98071
Alt. Serv./Feeder: 1 to 200 amps (F I
PERMIT EXPIRES Wednesday, August 1, 2012
Permit Issued on Friday, February 3, 2012
1 hereby certify that the above i orm on is correct and that the construction on the above described property and
the occupancy and the us ill n c with the laws, rules and regulations of the State of Washington
and t Ci Federal Way. -
Owner or agent: Date` (e;"
THIS CARD IS TO MAIN ON-SITE
C,r„ or -Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100527 -00 -EL Address: 4237 SW 323RD ST
Project: DUANE & RIVA BJORKLUND FEDERAL WAY, WA 98023-2495
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.
0 Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)
E]
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (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
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to h�Zdarm City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and s claim) which may be made by any person, including the undersigned, andfiled against the city,
but only where such art out of the reliance of the city, including its officers"and employees, upon the accuracy of the
information supplied t 41>� pg& of this application.
SIGNATURE:
PRINT NAME:
33325 80'Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application