20-103281 P
Electrical
City of Federal Way Permit #:20-103281-00-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
Project Name: GORSKI
Project Address: 30040 12TH AVE SW Parcel Number: 515320 0481
Project Description: wire septic pump system
Owner Applicant Contractor
BRIAN GORSKI WILLIAM MCDONALDMCDONALD& MCDONALD&SONS VENTURES LLC
30040 12TH AVE SW SONS VENTURES LLC MCDONSV813R6(12/26/21)
FEDERAL WAY WA 98023 8124 6I ST AVENUE CT E
PUYALLUP WA 98371 8124 61ST AVENUE CT E
PUYALLUP WA 98371
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 2
CONDITIONS:
Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump.New septic& effluent tanks containing electrical wires and equipment MUST be
inspected and approved PRIOR to being loaded with sewage.(Per 296-46B-501-001(b)(7)WAC)
PERMIT EXPIRES Thursday,26 August,2021
Permit Issued on Wednesday,August 26,2020
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
Wog iv:erneal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
F �Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 103281 00 • Address: 30040 12TH AVE SW
Project: BRIAN GORSKI FEDERAL WAY WA 98023-3408
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) ; E Ditch cover(4030) ID Slab/Concrete Floor(4255)
Approved Approved ; Approved to place concrete
By Date ! By Date I By Date
a❑ Pool Bonding(4195) ® Temporary Power(4275) I® Service(4235)
Approved I Approved Approved
By Date I By Date By . Date
'
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ' ® Ceiling Cover(4020)
Approved i Approved j Approved
By Date By Date By Date
•
El Final-Electrical(4055)
Approved
By V....,1(...
Date IV31)ND0
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date