22-100900City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BUSALACCHI
Project Address: 28605 27TH PL S
Electrical
Permit #:22-100900-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 746690 0340
Project Description: INSTALLING NEW HEAT PUMP AND REPLACING GAS FURNACE AND TSTAT
Owner
Applicant
Contractor
SHANNON BUSALACCHI
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (ELECTRICAL)
28605 27TH PL S
1003 85TH AVE SE UNIT A
BLACKHI919DL (3/15/23)
FEDERAL WAY WA 98003-3307
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C. application?..... :........... Yes
Electrical Fixtures -
Circuits - Residential 1 Low Voltage - Other (Resident 1
PERMIT EXPIRES Wednesday, 1 March, 2023
Permit Issued on Tuesday, March 1, 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
JqOwnW shi ton and the Ci of Federal Way.
er or agent:. Date:
LIN
r L;-l'ustruction
THIS CARD IS TO REMAIN ON -SITE
+��n°R Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 100900 00 Address:
Project: SHANNON BUSALACCHI
28605 27TH PL S
FEDERAL WAY WA 98003-3307
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.
El
UFER Ground (4295) 0
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
Q
Pool Bonding (4195) ®
Temporary Power (4275)
El Service (4235)
Approved
Approved
Approved
By
Date By
Date
,,,�✓✓��
By Date
0
Feeders/Sub-panels (4045) 0
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
1 0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date