23-103244City of Federal Way
Community Development Dept
FILF
SaAve S
Federal l Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NELSON
Project Address: 30407 25TH AVE SW
Electrical
Permit #:23-103244-00-EL.
Inspection Request Line: (253) 835-3050
Parcel Number: 889420 0270
Project Description: INSTALLING NEW AIR CONDITIONER, REPLACING GAS FURNACE
Owner
Applicant
Contractor
THOMAS NELSON
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
30407 25TH AVE SW
1003 85TH AVE SE UNIT A
BLACKH1919DL (3/15/25)
FEDERAL WAY WA 98023
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 Wednesday, 20 December, 2023
Permit Issued on Friday, June 23, 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
WONLINE
and the City of Federal Way.
Owner or agent: Date:
IN
cant or -
Federal Way
THIS CARD IS TO REM -AI\ O\-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
Scheduled inspections ntay 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 ripht. 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.
ELECTRICAL
Q LTFER Ground (4295)
0 Ditch cover (4030)
Q SlablConcrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By Date
By Date
0 Pool Bonding (4195)
Q Temporary Power (4275)
Q Service (4235)
Approved
Approved
Approved
By Date
By Date
By Date
0
Feeders/Sub-panels (4045)
® Rough Electrical (4225)
Ceiling Corer (4020)
Approved
Approved
Approved
By
Date
By Date
By
Date
E3
Final - Electrical (4055)
`�7
BvxzApproved
Date/�
MECHANICAL
0
Mechanical Rough -in (4165)
0 Gas Piping (4125)
Q
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By Date
By
Date
PLUMBING
0 Plumbing Groundwork (4190) 0 Rough Plumbing (4230) 0 Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date BY Date