23-102794City ofFederal Way
Community Development Dept
FIL17
33325 81h Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FENTON
Project Address: 30823 22ND AVE S
Electrical
Permit #:23-102794-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 053700 0550
Project Description: INSTALLING NEW HEAT PUMP AND REPLACING AIR HANDLER/TSTAT
Owner
Applicant
Contractor
GAYLORD & SUSAN FENTON
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
30823 22ND AVE S
1003 85TH AVE SE UNIT A
BLACKH1919DL (3/15/25)
FEDERAL WAY 98003
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C. application? ............. . Yes
Electrical Fixtures
Circuits - Residential 1 Thermostat
PERMIT EXPIRES Sunday, 26 November, 2023
Permit Issued on Tuesday, May 30, 2023
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: nNI INF _ Date:
�InPv)
CITY or
Federal Way
THIS CARD IS TO REALM\ ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) S35-3050
Scheduled inspections ma-; be failed if tivs card is not on -site. DO NOT LOSE THIS (A,FD. Inspections are listed as close to sequential order as possible
(read left to right. top to bottom). Please schedule inspections as appropriate. Work nnrst not be covered until it is approved. Check with your inspector if
,ou are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card_
ELECTRICAL
❑
By
LTFER Ground (4295)
Approved
Date
❑
By
Ditch cover (4030)
Approved
Date
❑
By
Slab/Concrete Floor (4255)
Approved to place concrete
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
Bti•
Date
By
Date
By
Date
Final - Electrical (4055)
By
�Approved /J
Date ; P✓
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - -Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
0
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
BY
Date