15-106541City of Federal Way Efe�trllcal
Community & Econ. Dev. Services Permit #: A ! 5 -106541` -00 -EL•.
33325 8th Ave S
Federal Way, WA 98003FILE
Ins ection Request Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q ( } 835,3050
Project Name: ISHMAEL
Project Address: 1020 SW 304TH ST Parcel Number: 178850 0005
Project Description: Install ductless heat pump - lcircuit
Owner
Applican
Contractor
KATHRYN S ISHMAEL
SUSAN DUNHAM
BLACK HILLS INC (ELECTRICAL)
1020 SW 304TH ST
BLACK HILLS INC
BLACKIR919DL (3/15/17)
FEDERAL WAY WA 98023
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501
OLYMPIA WA 98501-5706
Additional Permit Information
Electrical Work Valuation?....................................100.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Monday, June 27, 2016
Permit Issued on Wednesday, December 30, 2015
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 Ci of Federal Way.
Owner or agent: Ohm I I F= Date:
P '.
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Vi? f3
C11Z
CITY OF
Federal Way
PERMIT #:
Project:
HIS CARD IS TO FZ:
IN ON-SITE ,
Construction Intion Record
INSPECTION REQU (253) 835-3050
15 -106541 -00 -EL Address: 1020 SW 304TH ST
KATHRYN S ISHMAEL FEDERAL WAY, WA 98023-8233
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)
Temporary Power (4275)Service
lab/Concrete Floor (4 55)
Ei
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
�— Date S_
Pool Bonding (4195)
❑
Temporary Power (4275)Service
Ei
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
�— Date S_
Rough Electrical
Approved
Final Electrical
Approved
Ei
Right of Way
Approved
By
Date
By
Date
By
Date