13-1050160 E7ecdical
City of ay
Commun&Econ.ral Dev
ty .Services FILE Permit #: 13 -105016 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MOELLER , jpJgo 4
Project Address: 32230 11TH PL SW Parcel Number: 926493 0640
Project Description: install new beat pump and replace furnace
Owner
Ap lid
Contractor
KEVIN A MOELLER
SUSAN DUNHAM
BLACK HILLS INC (ELECTRICAL)
30102 26TH PL S
BLACK HILLS INC
BLACKIR919DL (3/15/15)
FEDERAL WAY WA 98003
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501
OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, May 7, 2014
Permit Issued on Friday, November 8, 2013
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:d%kll Date:
t
CITY OF VAI�
Federal Way
PERMIT #:
Project:
r THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -105016 -00 -EL Address: 32230 11TH PL SW
KEVIN A MOELLER FEDERAL WAY, WA 98023-5558
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.
LIFER Ground (4295)
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E:]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
BTw,)
Date ri
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date