23-102696City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HOLT
Project Address: 2027 S 304TH ST
Mechanical
FILPermit #:23-102696-00-ME
Inspection Request Line: (253) 835-3050
Project Description: REPLACING 40 GALLON GA WATER HEATER
Parcel Number: 053700 0040
Owner
Applicant
Contractor
GARY L HOLT
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (PLUMBING)
2027 S 304TH ST
1003 85TH AVE SE UNIT A
BLACKH1784CW (3/7/24)
FEDERAL WAY WA
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
98003
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation?....... .......................—. 500 Is this an Online or O.T.C. application?.................. Yes
_ Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Sunday, 19 November, 2023
Permit Issued on Tuesday, May 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
I t I nd JeNof Federal Way.
9
Owner or agent: 0 IQ Date:
r-/
)
CITY of
Federal Way
THIS CARD IS TO REALM\ O\-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-30-50
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.
ELECTRICAL
L"FER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Apprmed
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
B`
Date
❑
FeederslSub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Corer (4020)
Approved
Approved
Approved
By
Date
B-
Date
By
Date
❑
Final - Electrical (4055)
pproved
By
Date
MECHANICAL
❑ Mechanical Rough -in (4165)
❑ Gas Piping (4125) ❑ Final - \lechanical (4065)
Approved
Approved to release test
Approved
By
Date
Bv
Date
By
Date
PLUMBING
❑
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
❑7
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date