16-104251City of federal Way
Community & Edon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FILE
`-electrical
Permit #: 16- 104261 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: PERRAULT
Project Address: 30636 4TH PL S Parcel Number: 241330.0720
Project Description: Electrical work to replace gas furnace
Owner
ARRIican
Contractor
RONALD PERRAULT
SUSAN DUNHAM
BLACK HILLS INC (ELECTRICAL)
30636 4TH PL S
BLACK HILLS INC
BLACKIH919DL (3/15/17)
FEDERAL WAY WA 980034043
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501
OLYMPIA WA 98501 -5706
Additional Permit Information
Electrical Work Valuation ? ........ ............................100 i Is this an Online or O.T.C. application ?................ Yes
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Other (Residential). 1
PERMIT EXPIRES Tuesday, August 29, 2017
Permit Issued on Monday, August 29, 2016
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 Ci tv of Federal Wa .
Owner or agent: Date:
F1NALFD
THIS CARD IS TO REMAIN OMIU
F 1 Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16- 104251-00 -EL Address: 30636 4TH PL S
Project: RONALD PERRAULT FEDERAL WAY, WA 98003 -4043
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CAND, 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 lo¢sed on the back of this cent
roan ( )
Pool Bonding (4195)
Ditch cover
0
Slab/Concrete Floor
Approved
0
Approved
Service (4235)
Approved to place concrete
By Date
By
Date
By
Date
E
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover 40 0)
Approved
Approved
Approved
By
Date
By
Date
By
Date
z
Final - Electrical (4055)
Approved
Dated
E
Rough Electrical
Approved
n
Final Electrical
Right of Way —^
Approved
Approved
By
Date
By
Date
By
Date