24-100454City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: 29817 4TH SW
FILE
Electrical
Permit #:24-100454-00-EL
Inspection Request Line: (253) 835-3050
Project Address: 29817 4TH AVE SW Parcel Number: 7205000260
Project Description: A (Single Family Residential) (Repair or Replacement) project involving (Repair or
Replacement)
Scope of Work: Electrical
Single Family Dwelling: 1
Work Description/Location (example: 1st floor, Master Bath, Garage): replacing existing gas
furnace with new gas furnace
Owner
Applicant
Contractor
CARMI BROOKS
TONI BOWMAN
KLIEMANN BROTHERS HTG &A/C IN
29817 4TH AVE SW
4703 116TH ST E
KLIEMBH83800
FEDERAL WAY WA 98023-3513
TACOMA WA98446
4703 116TH ST E
TACOMA WA 98446
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, 30 July, 2024
Permit Issued on Thursday, February 1, 2024
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: I 1 `I P Date
REPRINTED 1
FEB 0a1014
IN.-
urr w
Federal Way
THIS CARD IS TO RENUU-N ON -SITE
Constrgction Inspection Record
INSPE(TION REQUESTS: (253) 835_3050
Scheduled inspections vita-: be failed if this card is not on -site. DO NOT LASE THIS CARD. RD. l specti%ms are listed as close to ;ctluearal ardor' ai possible
i'read left to right, top to bottom`,. Please schedule iaspcctiotu as appropriate. Wort, ni st not be co-vered until it is approved. Check vith your inspector if
vott are unsure about auv of the inpections or the Luixctiatl sequence. On -going inspections are logred on the back of this card.
ELECTRICAL
L'FER Ground (4295)
❑
Ditch cover (4030)
❑
SlabiC.oncrete Floor (425:5)
Approved
Approved
Approved to puce concrete
By
Date
By
Date
By
Date
Q
Pool Beading (4195)
❑
Temporary Power (4275)
i I ❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4047
❑
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Date
Date
Final - Electrical (4055)
By
Zx� Da
MECHANICAL
0
0
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)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
BS
Date
By
Date