23-104945I Way
City nrFerament
Community ilcvcaclopmcnt Dept
F S
Electrical
Permit #:23-104945-Community
33325 th Ave 5
Federal Way, WA 98003
Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 635-2609
Project Name: ORTEGAlNYAMBURA
Project Address: 30232 20TH AVE S
Parcel Number: 042104 9203
Project Description: REPLACE GAS FURNACE,TSTAT
AND INSTALL NEW HEAT PUMP
Owner
Applicant
Contractor
JAIME ORTEGA
SUSAN DUiNI-IAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
30232 20TH AVE S
1003 85TH AVE SE UNIT A
BLACKH1919DL (3/15/25)
FEDERAL WAY WA 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 Tuesday, 2 April, 2024
Permit Issued on Thursday, October 5, 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
,.,�NaJhlrkgn a d the Citv of Federal Way.
Owner or agent: Date:
C11Yot -,
Federal Way
THIS CARD IS TO RE-ILA-INON-SITE
Construction Inspection Record
INSPECTION REQUESTS. (253) 535-30=0
Scheduled inspections =-= be failed if thus card is .tot cm -site. DO NOT LOSE TIiIS C'-RD. Lrspections are listed is close to secliic vial order as possible
(read ieft to tiaat, top to borroui,- ?lease 56,edule inspecTions as appropriate. Work tni st noz be coffered until it is approved- Cheek -,a-iTh your inspector it
'o;i :ire =511re abo"'a anti' -of the U-,iperiiolls or the inspection icquence. Cil-going iaspection4 are logged on the back of dii5 card- .
ELECTRICAL
Q
L"FER Ground (4295)
0
Ditch cover (4030)
Q
SlabiConcrete Floor (4333)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporal-v Power (4275)
Q
Service (4233)
Approved
Approved
Approved
By
Date
Br
Date
Date
0
Feeders/Sub-panels (4045)
0
Rough Electrical (4225)
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1_..1
Ceiling Corer (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E3
Final - Electrical (4055)
.Approved
BS
Date I�%�� t •� j
MECHANICAL
Q
Mechanical Rough -in (4165)
Gas Piping (4125)
0
Final -Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
Br
Date
By
Date
PLUMBING
Q
Plumbing Groundwork- (4190)
Q
Rough Plumbing (4230)
L' i
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date