21-101351City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
- a
Ph: (253) 835-2607 Fax: (253) 835-2609
3
Project Name: BALL
Project Address: 29816 25TH PL S
Project Description: Swapping out zinsco panel to new homeline
Owner AM ican_t
STEPHEN BALL ISABELLA KESTNERQUEEN ANNE
29816 25TH PL S ELECTRIC LLC
FEDERAL WAY WA 98003 2620 38TH AVE W
SEATTLE WA 98199
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1
Electrical
Permit #:21-101351-00-EL
Inspection Request Line: (253) 835-3050
PERMIT EXPIRES Thursday, 7 April, 2022
Permit Issued on Wednesday, April 7, 2021
Parcel Number: 768220 0350
Contractor
QUEEN ANNE ELECTRIC LLC
QUEENAE914LK (6/8/21)
2620 38TH AVE W
SEATTLE WA 98199
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:
_k
CRV OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101351 00 Address: 29816 25TH PL S
Project: STEPHEN BALL FEDERAL WAY WA 98003-4274
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.
E UFER Ground (4295) 0 Ditch cover (4030) Q Slab/Concrete Floor (4255)
Approved
I By Date J'
❑ Pool Bonding (4195)
Approved
By Date
0 Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date's
By
Approved
Date
By
Approved to place concrete
Date
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
By
Date
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
By
Date
By
Date
❑
Final Electrical
❑
Right of Way
Approved
❑
Rough Electrical
Approved
Approved
By
Date
By
Date
13Y
Date