10-105003City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 635-2607 Fax: (7.53) 835-2609
Project Name: BAUNE
Project Address: 27913 21ST AVE S
Project Description: Adding/altering (1) circuit
Electrical
Permit #: 10 -105003 -00 -EL
Inspection Request Line: (253) 835-3050
Ogig(e
Parcel Number: 757562 0540
Owner
nlicant
Contractor
KENNETH J BAUNE
LAURA RICHARDSON
KOLKAY ELECTRIC
27913 21ST AVE S
KOLKAY ELECTRIC
KOLKAEI9350E (9/5/11)
FEDERAL WAY WA 98003-6949
29224 322ND AVE SE
29224 SW 322ND AVE SE
RAVENSDALE WA 98051
RAVENSDALE WA 98051
Additional Permit Information
Is Use Educational or Institutional? ............... ....No
Electrical Fixtures
Circuits - Residential.... ............ 1
PERMIT EXPIRES Thursday, December 1, 2011
Permit Issued on Wednesday, December 1, 2010
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 CAof Federal Way.
Owner oragent: 0 "L Date: �?j,rt
FINALED IZIAO /0
CITY OF
Federal Vtilay
PERMIT #:
Project:
TRIS CARD IS TO REMAIN ON-SITE
Construction Inspe, ion Record
INSPECTION REQUESTS: (253) 835-3050
10 -105003 -00 -EL Address: 27913 21 STAVE S
KENNETH J BAUNE FEDERAL WAY, WA 98003-6949
Scheduled inspections maybe failed if this card is not on-site. DO NOT Q5E Tii1S 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.
Fal - Electrical (4055)
Approved
By Date 1;?--gd> /0
UFER G round ( 5)
Ditch cover ( )
oncrete Floor 255
Temporary Power (4275)
Approved
Approved
Approved to place concrete
Approved
By Date
By Date
By Date
By
Fal - Electrical (4055)
Approved
By Date 1;?--gd> /0
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
0
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Fal - Electrical (4055)
Approved
By Date 1;?--gd> /0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date