18-105164City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: LEWIS
Project Address: 921 SW 314TH PL
Project Description: replace gas furnace
FILE
}-,
Electrical
Permit #:18 -105164 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 556050 0320
Owner
Applicant
Contractor
ALFRED LEWIS
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
921 SW 314TH PL
1003 85TH AVE SE UNIT A
BLACKH1919DL (3/15/19)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
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: INF Date:
w
N f
THIS CARD IS TO REMAIN ON-SITE
CM °� THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18105164 00 Address: 921 SW 314TH PL
Project: ALFRED LEWIS FEDERAL WAY WA 98023-4523
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)
0
Ditch cover (4030)
FAI
Slab/Concrete Floor (4255)
Ceiling Cover (4020)
Approved
Illy
Approved
]BY
Approved to plate concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
s❑
Temporary Power (4275)
®
Service (4235)
Ceiling Cover (4020)
Approved
Illy
Approved
IBY
Approved
By
Date
By
Date
By
Date
EI
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Right of Way
Approved
Approved
Approved
Approved
Approved
By
Date
By
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date 2 g—�
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date