23-104806City of Federal Way
Community Development Dept-
33325 8th Ave S
Federal Way, WA 98003
Ph:(253)835-2607 Fax:(253)B35-2609
Project Name: WOOLMAN/BROOME
Project Address: 3930 SW 321ST ST
Project Description: 100-200 amp panel change and meter
Electrical
Permit #:23-104806-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873190 2550
Owner
Applicant
Contractor
JENNIFER WOOLMAN
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
3930 SW 321ST ST
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
Alt. Serv./Feeder: 0 to 200 aml 1 Temp. Service: 101 - 200 amp! 1
PERMIT EXPIRES Tuesday, 26 March, 2024
Permit Issued on Thursday, September 28, 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
ORL
ton and the City:.of Federal Way.9Owner or a ent: i - a Date
FILE
Cirr or A�
Federal Way
THIS C_-�L1CD IS TO RE]1-JI\ ON -SITE '
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-30-50
Scheduled inspections ivay be failed if this card is not on -site. DO NOT LOSE TFUS CARD. Inspections are listed as close to sequential order as possible
(read Ieft to right. top to bottom). Please schechile nispections as appropriate. Work unit not be co,:eyed until it is approved. Check with your inspector if
rou are unsure about anv of the inspection or the inspection sequence. On -going inspections are logged on the back of this card.
ELECTRICAL
By
LIFER Ground (4295)
Approved
Date
❑
By
Ditch cover (4030)
Approved
Date
❑
By
SlabiConcrete Floor (4255)
Approved to place concrete
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Seri -ice (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
By Z6eraved
Dates
MECHANICAL
❑ Aechanical Rough -in (4165) Q Gas Piping (4125) ❑ Final -Mechanical. (4065)
Approved Approved to release test Approved
Bi- Date By Date Bir Date
PLUMBING
0 Plumbing Groundwork (4190) 2 Rough Plumbing (4230) Q Final - Plumbing (4075)
Approved to cover Apprav ed Approved
By Date By Date Date
CITY OF Building Division
Federal
Way
Phone 233325 Eighth Avenue South
Federal Way, WA 98003-6325
VA**&.53-835-2607 Fax 253-835-2609
ADDRESS:
CORRECTION NOTICE
910 sNl 3zi PERM., 23 /oNrvG
IF YOU HAVE QUESTIONS CALL
(253) 835
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of