19-104562City of Federal way
Community Development DepL
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BURCH KATY
Project Address: 31207 13TH AVE S
Electrical
Permit #:19 -104562 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 787500 0065
Project Description: Electrical to include replacing electrical panel, changing old outlets, adding canned (recessed)
lights in kitchen, bathroom and living area, adding security lights on exterior and wiring for
SD/CO.
Owner
Applicant
Contractor
KATY BURCH
KATY BURCH
OWNER IS CONTRACTOR
31207 13TH AVE S
31207 13TH AVE S
FEDERAL WAY WA 98003-4121
FEDERAL WAY WA 98003-4121
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Alt. Serv./Feeder: 0 to 200 aml
Electrical Fixtures
PERMIT EXPIRES Tuesday, 22 September, 2020
Permit Issued on Monday, September 23, 2019
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: 9,0 e� Date:
THIS CARD IS TO REMAIN ON-SITE
CITY CIF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 104562 00 Address: 31207 13TH AVE S
Project: KATY BURCH FEDERAL WAY WA 98003-5312
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE 11415 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.
0
UFER Ground (4295)
0
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
El
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
Approved
By
Date
El
Feeders/Sub-panels (4045)
Approved
By
Date
Approved
Final - Electrical (4055)
Date
Approved
By
Date
ElTemporary
Power (4275)
®
Service (4235)
Approved
Right of Way
Approved
By
Date
Approved
By
Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved Approved
By By Date
D
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date