22-101761City of Federal Way
Community Development Dept.
33325 8th Ave S
FILF
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GARDNER
Project Address: 30052 6TH AVE SW
Electrical
Permit #:22-101761-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 039600 0160
Project Description: gas furnace replacement with ac add on / new tstat / new circuit / new gfci outlet
Owner
Applicant
Contractor
LEON R GARDNER
RACHAEL AILSHIEPACIFIC HEATING &
PACIFIC HEATING & COOLING
30052 6TH AVE SW
COOLING
(ELECTRICAL)
FEDERAL WAY WA 98023-3520
8607 DURANGO ST SW
PACIFHC798DR (4/12/23)
LAKEWOOD WA 99499
12811 PACIFIC HWY S
LAKEWOOD WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical fixtures
Circuits - Residential 4 Thermostat
PERMIT EXPIRES Monday,17 October, 2022
Permit Issued on Wednesday, April 20, 2022
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
JJon re City of Federal Way.
Owner or agent: ON NDate-
/-I P'La
CITY OF As�
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 101761 00 Address:
Project: WENDY S GARDNER
30052 6TH AVE SW
FEDERAL WAY WA 98023-3520
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.
By
UFER Ground (4295)
Approved
Date
Q Ditch cover (4030)
Approved
By Date
Q Slab/Concrete Floor (4255)
Approved to place concrete
By Date
0 Pool Bonding (4195)
Approved
By Date
0 Temporary Power (4275)
Approved
By Date
0 Service (4235)
Approved
By Date
E]
By
Feeders/Sub-panels (4045)
Approved
Date
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
E] Final - Electrical (4055)
Approved
By Date,j��Q
❑
Rough Electrical
El
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date