16-104511i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FILE
Electrical
Permit #: 16- 104511 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: STERZINGER
Project Address: 3806 SW 313TH ST Parcel Number: 8731981170
Project Description: Install Heat Pump and replace Gas Furnace
Owner
AAp lu i Icant
Contractor
ROBERT F STERZINGER
BEN WARD
BLACK LION HEATING & A/C LLC
3806 SW 313TH ST
BLACK LION HEATING & A/C LLC
(ELECTRICAL)
FEDERAL WAY WA 98023 -2143
11001 118TH PL NE
BLACKLH8738Q (11/18/17)
KIRKLAND WA 98033
13209 NE 126TH PL
KIRKLAND WA 98034
Additional Permit information
Electrical Work Valuation ? ........... .........................500.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Wednesday, September 13, 2017
Permit Issued on Tuesday, September 13, 2016
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 Fedgial, Way.
Owner or agent: I I I Date:
THIS CARD IS TO REMAIN ON -SITE
F rat W Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16- 104511 -00 -EL Address: 3806 SW 313TH ST
Project: ROBERT F STERZINGER FEDERAL WAY, WA 98023 -2143
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
0
UFER Ground
0
Ditch cover ( )
Final Electrical
Approved
a oncrete r
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
Final Electrical
Approved
0
Service (4235)
Right of Way —^
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
0
Feeders/Sub- panels (4045)
0
Rough Electrical (4225)
Ceiling C —over (4020)
Approved
Approved
Approved
By
Date
By
Date
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0
Final - Electrical (4055)
Approved
By
Date Q _ c� R _ b
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —^
Approved
By
Date
By
Date
By
Date