18-10258611
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 8352609
Project Name: GRIFFITHS
Project Address: 31722 5TH AVE S
Project Description: replace 200-200 panel
t
— - t
Electrical
Permit #:18 -102586 -00 -EL
FILE Inspection Request Line: (253) 835-3050
Parcel Number: 794170 0370
Owner
Applicant
Contractor
LORETTA GRIFFITHS
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
31722 5TH AVE S
1003 85TH AVE SE UNIT A
BLACKHI919DL (3/15/19)
FEDERAL WAY WA 98003-5205
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional PermitInformation
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Thursday, 13 June, 2019
Permit Issued on Wednesday, June 13, 2018
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
Washin ton and theKIE
ralWay.
Owner or agent: LDate:
f'JVAP&'e0
I
/� THIS CARD IS TO REMAIN ON-SITE ,
"^'� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102586 00 Address: 31722 5TH AVE S
Project: LORETTA L GRIFFITHS FEDERAL WAY WA 98003-5205
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.
El
UFER Ground (4295)
F11
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
JBy
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
FAI
Temporary Power (4275)®
Ceiling Cover (4020)
Service (4235)
Approved
Approved
Approved
JBy
Approved
]BY
Approved
By
Date
By
Date .
Date
By
Date
7❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)9❑
Final Electrical
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date .
10 Final- Electrical (4055)
Approved I
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Illy
Approved
By
Date
I
By
Date
Date