21-101321City of Federal Way
Community Development DepC
33325 81h Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
FILEPermit #:21-101321-00-EL
Inspection Request Line: (253) 835-3050
11W
Project Name: LIBERTY LAKE CONDOMINIUMS, UNIT A-10
Project Address: 31003 14TH AVE S Parcel Number: 430620 0010
Project Description: UNIT A-10 Re -wire 700 sq ft unit 1- fan, 2 heaters, 50 openings
Owner
Applicant
Contractor
DENISE MIDDLETON
JESSICA SMITHHOME RUN ELECTRIC
HOME RUN ELECTRIC LLC
32140 9TH AVE S
LLC
HOMERRE974K2 (5/22/21)
23103 3RD AVE SE
23103 3RD AVE SE
FEDERAL WAY WA 98003
BOTHELL WA 98021
BOTHELL WA 99021
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
Electrical Fixtures
PERMIT EXPIRES Wednesday, 6 April, 2022
Permit Issued on Tuesday, April 6, 2021
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 ac r an e vith the laws, rules and regulations of the State of
on Or of Federal Way.
Owner or agent: Date.
_N�
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101321 00
Address: 31003 14TH AVE S Bldg A
Project: DENISE MIDDLETON FEDERAL WAY WA 98003-4719
Scheduled inspections may be failed if this card is not on -site. DO NOT L[1SE T1115 CARD. Inspections are listed as close to sequential order as possible
Work be covered until it is approved. Check with your inspector if
(read left to right, top to bottom). Please schedule inspections as appropriate. must not
are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
you
❑ UFER Ground (4295)
®
Ditch cover (4030)
❑ 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
�1
Approved /
Date �� 9
Approved
By Date
l3� Date" OV By
CQ
ED Final - Electrical (4055)
Ap�rnr:�l
By llatc%L'i^+'
❑ Rough Electrical EBy
Final Electrical El Right of Way
Approved Approved Approved
13v Date -� Date By Date