21-101548City or Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
BILE
Project Name: PEREZ
Project Address: 31014 10TH AVE SW
Project Description: 1 added circuit, and 4 receptacles in office
Owner Applicant
SHEILA PEREZ WILLIAM TIBBENGO HAWK ELECTRIC
31014 10TH AVE SW 37804 27TH PL S
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential I
Electrical
Permit #:21 -101548 -00 -EL
Inspection Request Line: (253) 835-3050
PERMIT EXPIRES Wednesday, 20 April, 2022
Permit Issued on Tuesday, April 20, 2021
Parcel Number: 024800 0210
Contractor
GO HAWK ELECTRIC (02)
GOHA WHE837DN(3/15/23)
37804 27TH PL S
FEDERAL WAY WA 98003
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: nr\l[- -
Date:
CITY OF A��
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PER -MIT #: 21 101548 00 Address: 31014 10TH AVE SW
Project: SHEILA PEREZ FEDERAL WAY WA 98023-4550
Scheduled inspections maybe failed if this card is not on-site. DO NOT LOSE: Ti11S CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work muss 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.
_11
UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
BY
Approved
Date
BY
Pool Bonding (4195)
Approved
Date
Approved
❑ Feeders/Sub-panels (4045)
Approved
By Date
❑ Final- Electrical (4055)
Approved
BY Darez �RA
Approved
By
Date
❑
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
Approved to place concrete
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑ Rough Electrical ❑
Approved Final Electrical ❑ Right of Way
Approved Approved
By Date 13y Date
BY Date