21-101874Electrical
City of Federal Way
Permit #:21-101874-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Inspection Request Line: (253) 835-3050
FILE
Project Name: CITY ON A HILL CHURCH
Project Address: 33320 9TH AVE S
Project Description: install 1 shunt trip breaker
Owner.
CITY ON A HILL CHURCH
33320 9TH AVE S
FEDERAL WAY WA 98003
USA
Applicant
ERIC OLSENOLSEN ELECTRIC
325 WASHINGTON AVE S SUITE 91
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Commercial
Electrical. Fixtures
Parcel Number: 926501 0045
Contractor
OLSEN ELECTRIC INC (01)
OLSENE193 I PE (10/5/21)
325 WASHINGTON AVE S SUITE 91
KENT WA 98032
PERMIT EXPIRES Thursday, 12 May, 2022
Permit Issued on Wednesday, May 12, 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
h' on n th ity of Federal Way.
NIU �:. e:
Owner or agent: Date-.
CITY OF A,
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101874 00 Address: 33320 9TH AVE S
Project: CITY ON A HILL CHURCH FEDERAL WAY WA 98003-6391
Scheduled inspections maybe failed if this card is not on -site. ❑O NOT LOSE TFI IS C'A11D. 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
[By
Date
�E]
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
BY
61 Date✓� `L
Approved
By
Date
El
Temporary Power (4275)
Approved
By
Date
El
Rough Electrical (4225)
Approved
By
Date
Approved to place concrete
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑
RoughApproved
❑
Final Electrical
❑
Right of Way
Approved
Approved
Ily
Date
By
Date
By
Date