12-105349'e
City of federal way FILE Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fa)c (253) 835-2609
Project Name: PANSEVICIUS
Project Address: 1122 SW 325TH PL
Project Description: ADD 3 CIRCUITS
IV 0
": Electrical
Permit #: 12 -105349 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926494 0020
Owner
ARnlicant
Contractor
JASON PANSEVICIUS
FULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
1122 SW 325TH PL
37107 12TH AVE S
FULLEEI027BK (1/12/14)
FEDERAL WAY WA
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fbdures ,
Circuits - Residential ...................... 3
PERMIT EXPIRES Thursday, November 27, 2014
Permit Issued on Tuesday, November 27, 2012
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 dn ki a I ho Im Date:
r ..
THIS CARD IS TOMAIN ON-SITE
CITY of Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -105349 -00 -EL Address: 1122 SW 325TH PL
Project: JASON PANSEVICIUS FEDERAL WAY, WA 98023-4918
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.
F' - Electrical (4055)
Approved
!By Date 3�
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
F' - Electrical (4055)
Approved
!By Date 3�
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
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
F' - Electrical (4055)
Approved
!By Date 3�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date