22-100124City of Federal Way
Community Development Dept.
I;� LE
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: VILLAGE GREEN
Project Address: 35419 1ST AVE S
Project Description: Install 2 20amp Circuit
Electrical
Permit #:22-100124-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 302104 9024
Owner
Applicant
Contractor
VILLAGE GREEN FEDERAL WAY
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
PO BOX 98309
SERVICES LLC
(01)
DES MOINES WA 98198
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
Eleetrieal Fixtures
Circuits - Commercial 2
PERMIT EXPIRES Wednesday,11 January, 2023
Permit Issued on Tuesday, January 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 accords c�wi.th the laws, rules and regulations of the State of
OvNt
ton t �Qf F�:dera! Way.
Owner or agent:
Date:
CRY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS' (253) 835-3050
PERMIT #: 22 100124 00
Address:
35419 1ST AVE S
Project: VILLAGE GREEN FEDERAL WAY
FEDERAL WAY WA 98003
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)
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By Date
0
Pool Bonding (4195) 0
Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
®
Feeders/Sub-panels (4045) ®
Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
H
Final - Electrical (4055)
proved
By
l
Date
El
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
13v Date