22-105419City of Federal Way
Community Development Dept
S, Ave S
FILE
Federalal W Wayy, WA 98003
Ph: (253) 835-2607 Fax: (253) B35-2609
Project Name: DENNIS
Project Address: 28834 22ND AVE S
Project Description: Changeout panel and meter
Electrical
Permit #:22-105419-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 422270 0350
Owner
Applicant
Contractor
SHARON S DENNIS
KYLE RUDOLPHDEDICATED
DEDICATED ELECTRICAL SERVICES
28834 22ND AVE S
ELECTRICAL SERVICES LLC
LLC
FEDERAL WAY WA
2209 37TH AVE E
DEDICES857R1 (12/29/23)
98003
PUYALLUP WA 98374
2209 37TH AVE E
PUYALLUP WA 98374
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml
IF -
Electrical Fixtures
PERMIT EXPIRES Sunday, 28 May, 2023
Permit Issued on Tuesday, November 29, 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
i to d the City of Federal Way.
Owner or agent: Date:
CITY OF
Federal, Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 105419 00
Project: SHARON S DENNIS
Address:
28834 22ND AVE S
FEDERAL WAY WA 98003-3845
Scheduled inspections inay 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) ❑
Ditch cover (4030)❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
❑
Pool Bonding (4195) ❑
Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
❑
Feeders/Sub-panels (4045) ❑
Rough Electrical (4225)
9❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
90
Final - Electrical (4055)
A roved
By
Date
❑
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date