19-101012 • • - - Electrical
City of Federal way Permit #:19-101012-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 FILE
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SIEMSSEN
Project Address: 34518 10TH AVE SW Parcel Number: 132171 0540
Project Description: New Whip&Disconnect with outdoor outlet
Owner Applicant Contractor
BRADFORD W SIEMSSEN RENE ALLENWIREWORX ELECTRICAL WIREWORX ELECTRICAL INC(01)
34518 10TH AVE SW INC WIREWEI829MQ(7/18/20)
FEDERAL WAY WA 98023-8416 12518 CANYON RD E SUITE A
PUYALLUP WA 98373 12518 CANYON RD E SUITE A
PUYALLUP WA 98373
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
i'_. „'';",•£'. yE;(F„' - ElectricalFhtnre „" ';Y%.i'_ P, '
Circuits-Residential 1
PERMIT EXPIRES Wednesday,4 March,2020
Permit Issued on Tuesday,March 5,2019
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
W hin a City of Federal Way.
Owner or agent: O Date:
•
THIS CARD IS TO REMAIN ON-SITE
�FB�TeYOvvay Construction InspectioneReeord
INSPECTION REQ TS:(253)835-3050
PERMIT#: 19 101012 00 Address: 34518 10TH AVE SW
Project: REBECCA SIEMSSEN FEDERAL WAY WA 98023-8416
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 arc logged on the back of this card.
0 UFER Ground(4295) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) CI Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
CI Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
® Final-Electrical(4055)
Approved
By Date"9"'/g
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved • Approved
By Date By Date By Date