19-101682 •
Electrical
City of Federal Way L E Permit #:19-101682-00-EL
Community Development Dept. F '
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BERGSTROM
Project Address: 1 111 SW 329TH PL Parcel Number: 926494 1110
Project Description: ELECTRICAL WORK FOR GAS FURNACE REPLACEMENT AND AC ADD ON
Owner Applicant Contractor
DEANNA BERGSTROM RACHAEL AILSHIEPACIFIC HEATING& PACIFIC AIR SYSTEMS(ELECTRICAL
1111 SW 329TH PL COOLING 02)
FEDERAL WAY WA 98023-5218 8607 DURANGO ST SW PACIFAS853LB(6/2/19)
LAKEWOOD WA 98499 12811 PACIFIC HWY S
LAKEWOOD WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
.,. ;�yyea �; �z
Circuits-Residential 2 Thermostat 1
PERMIT EXPIRES Thursday,9 April,2020
Permit Issued on Wednesday,April 10,2019
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
WO E t L TN= al Way.
Owner or agent: Date:
ca
Si& THIS CARD IS TO REMAIN ON-SITE
Federal Way
ConstructionIEREQUESTS:(2 3)8R30�rd
PERMIT#: 19 101682 00 Address: 1111 SW 329TH PL
Project: THOMAS BERGSTROM FEDERAL WAY WA 98023-5218
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By .7( Date - 3 9 By Date
`
El Final-Electrical(4055)
Approved
By //e, Date °f-/23 /?
O Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date