16-101811City of Federal Way
Community &Econ. Dev. Services FILE
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WEISS
Project Address: 35213 5TH AVE SW
Project Description: Replacing Gas Furnace - electrical circuit
Electrical
Permit #: 16 -101811 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 0662310330
Owner
AR12licant
Contractor
GARY JOSEPH WEISS
SUSAN DUNHAM
BLACK HILLS INC (ELECTRICAL)
CANDACE ANN WEISS
BLACK HILLS INC
BLACKIR919DL (3/15/17)
35213 5TH AVE SW
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
FEDERAL WAY WA 98023
OLYMPIA WA 98501
OLYMPIA WA 98501-5706
Additional Permit Information
Electrical Work Valuation?....................................100 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Thursday, April 13, 2017
Permit Issued on Wednesday, April 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 Federal Way.
Owner or agent: Date:
` THIS CARD IS T( MAIN ON-SITE '
"TMOF Construction Insspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101811 -00 -EL Address: 35213 5TH AVE SW
Project: GARY JOSEPH WEISS FEDERAL WAY, WA 98023-8122
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.
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
By Date By Date By Date
UFER Ground (4295)
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Temporary Power (4275)
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
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
❑
Final - Electrical (4055)
Approved
By
V4 Date 412-1
4,
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
By Date By Date By Date