17-100861 Electrical
City of Federal Way FILE Permit #:17-100861-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: GREENLEAF
Project Address: 30613 4TH PL S Parcel Number:241330 0810
Project Description: Install heat pulntk and gas furnace
Owner Applicant Contractor
DANIEL GREENLEAF BEN WARDBLACK LION HEATING&A/C BLACK LION HEATING&A/C LLC
30613 4TH PL S LLC (ELECTRICAL)
FEDERAL WAY WA 98003 11001 118TH PL NE BLACKLH841L4 (6/24/18)
USA KIRKLAND WA 98033 13209 NE 126TH PL
KIRKLAND WA 98034
Additional Permit Information
Is this an Online or O.T.C.application Yes
Circuits-Residential 1 Thermostat 1
PERMIT EXPIRES Friday,23 February,2018
Permit Issued on Thursday,February 23,2017
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 Ci of Federal Way.
Owner or agent: Is, I
L I N Date:
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' -°�' THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100861 00 Address: 30613 4TH PL S
Project: DANIEL P GREENLEAF FEDERAL WAY WA 98003-4043
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(4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved 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 By Date
,® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By 41#110 Date 314 0 ( 17
El Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date