20-102815 Electrical
City of Federal Way Permit #:20-102815-00-EL
Community Development Dept. FILE
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: TWIN LAKES CHEVRON
Project Address: 4612 SW 320TH ST Parcel Number: 112103 9101
Project Description: Replace 2 fuel dispenser.Existing wire will remain.A short piece of conduit will be replaced at
the dispenser sump
Owner Applicant Contractor
CMBA NO 3 LLC DONNA PETZOLDInnovative Electric,Inc INNOVATIVE ELECTRIC INC
13219 NE 10TH PL 10117 N MONTANA RD INNOVEI055KE(5/5/21
BELLEVUE WA 98005-2726 EVERETT WA 98204
PO BOX 4399
EVERETT WA 98204
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Commercial 4
PERMIT EXPIRES Wednesday,21 July,2021
Permit Issued on Tuesday,July 21,2020
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
Washington and the City of Federal Way.
Owner or agent: I: 4I L I N E Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF
*' A' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 102815 00 Address: 4612 SW 320TH ST
Project: CMBA NO 3 LLC 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) , ID Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date , By Date
4
® Pool Bonding(4195) ; ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date �By Date �`By Date
•7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
1
B• y Date By Date By Date
El Final-Electrical(4055)
Approved
By Date 0:11?41 f 20
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •