19-102645 = 1
Electrical
City of Federal Way Permit #:19-102645-00-EL
Community Development Dept
33325 8th Ave SFIL ,-
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph'(253)835-2607 Fax:(253)835-2609
Project Name: ELZINGA
Project Address: 29009 23RD PL S Parcel Number:422250 0300
Project Description: Adding power and a 20Amp power for AC Unit
Owner Applicant Contractor
ROELOF ELZINGA ROELOF ELZINGA OWNER
29009 23RD PL S 29009 S 29009 23 PL S AVE 29009 23 OWNER
FEDERAL WAY WA 98003-7927 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 1
PERMIT EXPIRES Wednesday,3 June,2020
Permit Issued on Tuesday,June 4,2019
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
sh' ton n th f Federal Way.
Owner or agent: Date:
( n &
t
44A THIS CARD IS TO REMAIN ON-SITE
cm
Federalof WayConstruction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102645 00 Address: 29009 23RD PL S
Project: ANNA ELZINGA FEDERAL WAY WA 98003-7927
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 UFER Ground(4295) 0 Ditch cover(4030) 1.0 Slab/Concrete Floor(4255)
Approved Approved PPro Approved to place concrete
By Date J.By Date .By Date
Cl •
Pool Bonding(4195) 0 Temporary Power(4275) 8
P �'Y ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date ��By Date By Date
•
tl Final-Electrical(4055)
Approved
By /1( Date 6 -/7-1
9
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date