20-104933City of Federal Way
Community Development Dept
Ave S
Sal
FIL
Federal Way,y, WA 98003
W
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LOTZ
Project Address: 29825 4TH AVE SW
Project Description: Kitchen remodel
Electrical
Permit #:20-104933-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720500 0250
Owner
Applicant
Contractor
ANDREW LOTZ
KYLE RUDOLPHDEDICATED
DEDICATED ELECTRICAL SERVICES
29825 4TH AVE SW
ELECTRICAL SERVICES LLC
LLC
FEDERAL WAY WA 98023
2209 37TH AVE E
DEDICES857RI (12/29/21)
USA
PUYALLUP WA 98374
2209 37TH AVE E
PUYALLUP WA 98374
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1 Circuits - Residential 6
PERMIT EXPIRES Friday, 17 December, 2021
Permit Issued on Thursday, December 17, 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
Washington and the City of Federal Way.
Owner or agent: ON11 INUP Date.
_4%,
CITY Or
Federal Way
THIS CARD 1S TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 104933 00 Address: 29825 4TH AVE SW
Project: ANDREW R LOTZ FEDERAL WAY WA 98023-3513
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE T1I IS CARD. I11speciions are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as approliriate. Work must not he covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspeetinn sequelim, On -going inspections are logged on the back of this card.
❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
A ved to lace concrete
Approved
By Date
❑ Pool Bonding (4195)
Approved
By Date
ByEl
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
l� inal - Electrical (4055)
)proved
By
Dater
❑�
By
Approved
Date
Temporary Power (4275)
Approved
Date
Rough Electrical (4225)
Approved �]
Date''
ppro p
By Date
❑ Service (4235)
Approved' Q
By Date IIAr'� f�
Ceiling Cover (4020)
Approved
By Date
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved
Approved
Date fay Date By Date