18-105596City of Federal way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
- - 1
Electrical
Permit #:18 -105596 -00 -EL
FILE
Inspection Request Line: (253) 835-3050
Project Name: BAIRD FAMILY REV LIVING TRUST
Project Address: 3808 SW 339TH ST Parcel Number: 921150 0290
Project Description: Electrical work to include replacing gas furnace and install ac unit
Owner
Applicant
Contractor
BAIRD FAMILY REV LIVING TRU
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
22625 MILITARY RD S
1003 85TH AVE SE UNIT A
BLACKHI919DL (3/15/19)
SEATAC, WA 98198
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 Friday, 29 November, 2019
Permit Issued on Thursday, November 29, 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 rdgulations of the State of
Washington and the f Federal Way.
Owner or agent: Date:
f
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 181055%00 Address: 3808 SW 339TH ST
Project: BAIRD FANMY REV LIVING TRU FEDERAL WAY WA 98023-2973
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)
Rough Electrical (4225)
®
Ditch cover (4030)
FAI
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved
1By
Approved
13y Date
Approved to place concrete
By
Date
By
By
Date
By
Date
®
Pool Bonding (4195)
Rough Electrical (4225)
®
Temporary Power (4275)
®
Service (4235)
Right of Way
Approved
Approved
Approved
13y Date
Approved
By
Date
By
By
Date
By
Date
0 Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
9
Ceiling Cover (4020)
Approved
Right of Way
Approved
Approved
Approved
13y Date
By
Date
Approved
By
Date
10 Final - Electrical (4055)
Approved
By : Date t Z. -i -5 f $
Rough Electrical
Final Electrical
E]
Right of Way
Approved
Approved
Approved
By
Date
I
By
Date
By
Date