16-100973 • Electrical
Community&EconroDev.Services Permit #: 16-100973-00-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: SIMPSON
Project Address: 2622 SW 340TH PL Parcel Number: 010920 0460
Project Description: Low voltage wiring to replace gas furnace-.
,
Owner Applicant Contractor
DAVID L SIMPSON • SUSAN DUNHAM . BLACK-HILLS INC(ELECTRICAL)
LORNA W SIMPSON BLACK HILLS INC BLACKHI919DL(3/15/17)
2622 SW 340TH-PL 1003 85TH AVE SE UNIT A .1003 85TH AVE SE UNIT A
FEDERAL WAY WA 98023 OLYMPIA WA 98501 OLYMPIA WA 98501-5706
•
Additional Permit Information
Electrical Work Valuation? 500 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? 'Na '
• Electrical Fixtures
Low Voltage-Other(Residential). 1
PERMIT EXPIRES Thursday, February 23, 2017
• Permit Issued on Wednesday, February 24, 2016
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: ONLINE
Date:
• . THIS CARD IS TO MAIN ON-SITE
n
c, OF ''""'`ir-~' Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-100973-00-EL Address: 2622 SW 340TH PL
Project: DAVID L SIMPSON FEDERAL WAY, WA 98023-7733
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.
O UFER Ground(4295) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
Final-Electrical(4055)
Approved
By 1.41 Date _1 8-_ -)4
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date