19-103769City of Federal Way
Community Development Dept,
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: JACKSONS #636
Project Address: 1520 S 348TH ST
Project Description: Camera Cat 5 and phone
Electrical
Permit #:19-103769-00-EL
F 1 L i
Inspection Request Line: (253) 835-3050
Parcel Number: 889700 0115
Owner
Applicant
Contractor
JACK DAVISPACWEST ENERGY LLC
PHILIP GAUNTLETTCountryside Electric
COUNTRYSIDE ELECTRIC
3450 COMMERCIAL PKWY CT
Inc,
COUNTEI893N4 (9/24/21)
MERIDIAN ID 83642
7465 N 3RD ST
PO BOX 397
TURNER OR 97392
JEFFERSON OR 97352
Additional Permit Information
Is this an Online or O.T.C. application? ................. Ycs
f 0
)E;lectrica es
Low Voltage - Other (Commel 3
PERMIT EXES Friday, 7 Augu ,
er 1'1lltt Isspu Thursday, Au s48 19
1 hereby certify that the above info r ion is correct and th t�nstruetion on the above described property
and the occupancy and the use will be in accordance he laws, rules and regulations of the State of
ashin ton and the ederal Way.
Owner or agent:7!!!QDate:
off
Ciyv OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 103769 00
Project: JACK DAVIS
Address:
1520 S 348TH ST
FEDERAL WAY WA 98003-6844
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.
0
UFER Ground (4295) 0
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
❑
Pool Bonding (4195) ❑
Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
❑
Feeders/Sub-panels (4045) ®
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
F1t�
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Da to
By
Date