21-100462FILE
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WALLACE/BUSBY
Project Address: 31503 LOTH AVE S
Project Description: Extend 1 circuit for new ceiling fan
Electrical
Permit #:21-100462-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 787540 0260
Owner
Applicant
Contractor
LENORA WALLACE
PATTY FULLERFULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
31503 1 OTH AVE S
1220 S 356TH ST SUITE A-5
FULLEE1027BK (1/12/22)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
Electrical Fixtures
PERMIT EXPIRES Saturday, 5 February, 2022
Permit Issued on Friday, February 5, 2021
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: Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF - - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100462 00 Address: 31503 LOTH AVE S
Project: DAVID T BUSBY FEDERAL WAY WA 98003-5308
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CAIW. 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)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
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
Final - Electrical (4055)
Approved
By Date
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date