20-104776Electrical
City of Federal Way FILE Permit #:20 -104776 -00 -EL
Community Development Dept.
33325 81h Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EDWARDS
Project Address: 28816 23RD PL S Parcel Number: 422250 0410
Project Description: NEW TSTAT
Owner Applicant Contractor
SHAWN EDWARDS RACHAEL AILSHIEPACIFIC HEATING & PACIFIC AIR SYSTEMS (ELECTRICAL
28816 23RD PL S COOLING 02)
FEDERAL WAY WA 98003 8607 DURANGO ST SW PACIFAS853LB (6/2/21)
LAKEWOOD WA 98499 12811 PACIFIC HWY S
LAKEWOOD WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Thermostat
Electrical Fixtures
PERMIT EXPIRES Saturday, 4 December, 2021
Permit Issued on Friday, December 4, 2020
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
Washin lin a d the City of Federal Way.
Owner or agent:- Date:
�; /I/ a- )
4%,THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 104776 00 Address: 28816 23RD PL S
Project: SHAWN EDWARDS FEDERAL WAY WA 98003-7925
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.
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UFER Ground (4295)
❑
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Date
Approved
❑
Approved
El
Approved to place concrete
By
Date
By
Date
By
Date
0 Pool Bonding (4195)
Service (4235)
Approved
[By
By
Date
❑
Feeders/Sub-panels (4045)
El
Approved
Approved
Date
By
Date
By
Date
IIy
❑
Final - Electrical (4055)
13}
By
Approved
\ Date
Temporary Power (4275)
Approved
Date
Rough Electrical (4225)
Approved
Date
®
Service (4235)
Approved
By
Date
❑
Right of Way
❑
Ceiling Cover (4020)
Approved
By
Date
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
IIy
Date
13}
Date