22-100006City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WILLIAMS
Project Address: 30519 5TH AVE SW
Project Description: REPLACING GAS FURNACE AND TSTAT
Electrical
Permit #:22-100006-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 178890 0200
Owner
Applicant
Contractor
SIMON WILLIAMS
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
30519 5TH AVE SW
1003 85TH AVE SE UNITA'
BLACKH1919DL (3/15/23)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
USA
OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Thermostat
Electrical Fixtures
PERMIT EXPIRES Tuesday, 3 January, 2023
Permit Issued on Monday, January 3, 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: nK11 I NJ Date:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUE STS: (253) 835-3050
PERMIT #: 22 100006 00 Address:
Project: KARLEY A WILLIAMS
30519 5TH AVE SW
FEDERAL WAY WA 98023-3914
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.
0
UFER Ground (4295) 0
Ditch cover (4030)
3❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
®
Pool Bonding (4195) 0
Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
0
Feeders/Sub-panels (4045) ®
Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
10
Final - Electrical (4055)
By
pprwed
Date��
Rough Electrical
EJ
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date