22-100667Electrical
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HALLENBERGER
Project Address: 30733 12TH PL SW
Project Description: WHOLE HOUSE REWIRE
Owner
DIXIE HALLENBERGER
30733 12TH PL SW
FEDERAL WAY WA 98023-8231
Applicant
SUSAN DUNHAMBLACK HILLS INC
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Permit #:22-100667-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0691
Contractor
BLACK HILLS INC (ELECTRICAL)
BLACKHI919DL (3/15/23)
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Electrical Fixtures
New Service: Residential 1
PERMIT EXPIRES Saturday,11 February, 2023
Permit Issued on Friday, February 11, 2022
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: Date:
CITY OF 04�
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 100667 00 Address: 30733 12TH PL SW
Project: JANA HALLENBERGER FEDERAL WAY WA 98023-8231
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE 11115 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) 11 El cover (4030) 0 Slab/Concrete Floor (4255)
Approved
[By
Date
Pool Bonding (4195)
Approved
By
Date
El
Feeders/Sub-panels (4045)
Approved
By
Date
10
Final - Electrical (4055)
pproved
BY
Date
{1411 �rz,661
Approved Approved to place concrete
By Date By Date
® Temporary Power (4275) ® Service (4235)
Approved Approved
BY Date By Date •_ 4�
® Rough Electrical (4225) Ceiling Cover (4020)
Approved Approved
By Date By Date
1obA2-
El
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
BY
Date
By
Date
By
Date