19-100981 - 4 I
Electrical
City of Federal Way Permit #:19-100981-Q0-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 � ' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
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Project Name: SAM'S MARKET
Project Address: 803 SW 312TH ST Parcel Number:072104 9125
Project Description: Panel change for Sam's Market.
Owner Applicant Contractor
ANDRES MEDINA JAMES DORROUGHKANON ELECTRIC KANON ELECTRIC(01)
424 S 60TH ST 1018 E 122ND AVE KANONEI947BE(1/14/20)
TACOMA WA 98408-6443 EDGEWOOD WA 98372
PO BOX 1745
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Alt. Srvc/Feeder 0 to 200 ami 1
PERMIT EXPIRES Saturday,29 February,2020
Permit Issued on Friday,March 1,2019
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 ingi tEty of Federal Way.
Owner or agent: 0 I NI Date:
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THIS CARD IS TO REMAIN ON-SITE
Construction inspection Record
I way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100981 00 Address: 803 SW 312TH ST Unit 101
Project: ANDRES MEDINA FEDERAL WAY WA 98023
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) El Ditch cover(4030) I=1 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved 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
El Final-Electrical(4055)
Approved /J/�
By ` Date/a ' 4
/(i
El Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date