22-100453Electrical
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: GRIFFIN
Project Address: 1030 S 289TH ST
Project Description: Replace panel
Permit #:22-100453-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720580 0050
Owner
Applicant
Contractor
STEPHEN R GRIFFIN
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
1030 S 289TH ST
SERVICES LLC
(01)
FEDERAL WAY WA 98003
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
AUBURN WA 98002
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml I
PERMIT EXPIRES Wednesday, 1 February, 2023
Permit Issued on Tuesday, February 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 accorckanq he laws, rules and regulations of the State of
�t n a i ,Federal Way.
LL
Owner or agent: Date:
v�v
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 100453 00 Address:
Project: DOROTHY A GRIFFIN
1030 S 289TH ST
FEDERAL WAY WA 98003-3709
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) 0 Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved Approved
Approved to place concrete
By
Date By Date
By Date
0
Pool Bonding (4195) Temporary Power (4275)
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
10
Final - Electrical (4055)-
pproved
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date