17-104188 ,y
Electrical
City
nityDe Federal DevelopmFILE ent
Permit #:17-104188-00-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: SMALL
Project Address: 31528 42ND AVE SW Parcel Number: 873198 2800
Project Description: Install(1)circuit for ductless heat pump
Owner Applicant Contractor
GREGORY J SMALL SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(ELECTRICAL)
31528 42ND AVE SW 1003 85TH AVE SE UNIT A BLACKHI919DL(3/15/19)
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
Circuits-Residential 1
PERMIT EXPIRES Thursday,30 August,2018
Permit Issued on Wednesday,August 30,2017
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 City of Federal Way.
Owner or agent:
ONLINE Date:
14Cidi � Mit S I CO 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104188 00 Address: 31528 42ND AVE SW
Project: GREGORY J SMALL FEDERAL WAY WA 98023-2120
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.
® UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date ��By Date By Date
0 Pool Bonding(4195) El 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
ElFinal-Electrical(4055)
Approved
By ►�11,,t, Date q....1 t t`r)
Rough Electrical D Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date