21-101584City or Federal Way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KRUK/QUEBATAY
Project Address: 32550 7TH PL S
Project Description: ac circuit
Electrical
Permit #:21-101584-00-EL
0 ILE
Inspection Request Line: (253) 835-3050
Parcel Number: 326070 1130
Owner
Alpp!icant
Contractor
JEFFREY KRUK
BEN WARDBLACK LION HEATING & A/C
BLACK LION HEATING & A/C LLC
32550 7TH PL S
LLC
(ELECTRICAL)
FEDERAL WAY WA 98003
11001 118TH PL NE
BLACKLH80ONR (7/20/22
KIRKLAND WA 98033
13209 NE 126TH PL
KIRKLAND WA 98034
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential 1
PERMIT EXPIRES Thursday, 21 April, 2022
Permit Issued on Wednesday, April 21, 2021
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
Washin ton an tk
t ederal Way.
I I'm
Owner or agent: _ JN Date:
A��
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS.- (253) 835-3050
PERMIT #: 21 101584 00 Address: 32550 7TH PL S
Project: JULIET QUEBATAY FEDERAL WAY WA 98003-5913
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) ❑ Slab/Concrete Floor (4255)
Approved Approved
By Date By Date
0 Pool Bonding (4195) ® Temporary Power (4275)
Approved Approved
By Date By Date
❑ Feeders/Sub-panels (4045) ❑ Rough Electrical (4225)
Approved 11 Approved
By Date By Date
❑ Final - Electrical (4055)
Approved
By // Date D ' Y of//
Approved to place concrete
By
Date
❑
Service(4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By Date
❑
Rough Electrical
❑ Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
lay Date
13y
Date