21-102049City of Federal Way
Community Development Dept,
33325 8th Ave S
Fct[e(Il Way, WA 98003
Ph: (2531,�5.2607 Fax: (253) 835-2609
Project Name: CHRISTIANSEN
Project Address: 1612 SW 304TH ST
Electrical
Permit #:21-102049-00-EL
�7 171LE
Inspection Request Line: (253) 835-3050
Project Description: 120 amp circuit - 1 extend circuit 20 amp
Parcel Number: 012103 9129
Owner
Applicant
Contractor
KENNETH CHRISTIANSEN
PATTY FULLERFULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
1612 SW 304TH ST
1220 S 356TH ST SUITE A-5
FULLEE1027BK (1/12/22)
FEDERAL WAY WA 98023
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
Electrical Fixtures
Circuits - Residential 2
PERMIT EXPIRES Wednesday, 25 May, 2022
Permit Issued on Tuesday, May 25, 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
W s ing1. n and the_City of Federal Way.
Owner or agent: Date:
r M.A1
CITY OF
Federal Way
THIS CARD 1S TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 21 102049 00 Address: 1612 SW 304TH ST
Project: MARYLU PAULSEN-CHRISTIANSE FEDERAL WAY WA 98023
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CART). 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) 0 Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
El
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
)
Date � v27—a `
By
❑
Rough Electrical
❑ Final Electrical
❑ Right of Way
Approved
Approved
Approved
By
Date
liv Date
BY Date