21-102363City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ROBILLARD
Project Address: 33412 4TH CT SW Flk
Electrical
Permit #:21-102363-00-EL
Inspection Request Line: (253) 835-3050
Project Description: Panel Swap, grounding, bonding, WHS, with OS disconnect
Parcel Number: 729905 0390
Owner
Applicant
Contractor
KBVIN ROBILLARD
JARED WEBLEYELECTRICAL HOME
ELECTRICAL HOME SOLUTIONS LLC
33412 4'ri•i CT SW
SOLi3TIONS LLC
FLECTHS872R7 (1116/22)
FEDERAL WAY WA 98023
25407 SE 159T'H ST
2S407 SE 159Tr1 ST
ISSAQUAH'WA 98027
fSSAQUAH WA 9$027
Additional Permit Information
1s this an Online or O.T.C. application? ............. __ yt�'
Alt. Serv./Feeder: 0 to 200 aml
Electrical Fixtures
PERMIT EXPIRES Saturday,11 June, 2022
Permit Issued on Friday, June 11, 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:
�'""� ONLINE
Cate:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 21 102363 00 Address:
Project: CIERRA ROBILLARD
33412 4TH CT SW
FEDERAL WAY WA 98023-6194
Scheduled inspections may be failed if this card is not on -site.
DO NOT LOST. 1'111S 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.
1❑
UFER Ground (4295) Q
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) ❑
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
0
Final - Electrical (4055)
By
eApproved
2f Date,v�/
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date