23-100246City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: AGM BUILDING
Project Address: 27721 PACIFIC HWY S
Project Description: Retrofit LEDs throughout
Electrical .
Permit 9:23-100246-00-EL
FILEIn Request Line: (253) 835-3050
Parcel Number: 720480 0195
Owner
Applicant
Contractor
JOHN HALBERG
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
PO BOX 3430
SERVICES LLC
(01)
KENT WA 98089
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
AUBURN WA 98002
3802 AUBURN WAY N SUITE 307
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Electrical Fixtures
Circuits - Commercial 17
PERMIT EXPIRES Sunday, 16 July, 2023
Permit Issued on Tuesday, January 17, 2023
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: N.-L 1 _NE Date:
;<;nal
s - w
THIS CARD IS TO REMAIN ON -SITE
Cl" or- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100246 00 Address: 27721 PACIFIC HWY S
Project: JANA VANAMBURG FEDERAL WAY WA 98032-6906
Scheduled inspections maybe 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)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
El Final - Electrical (4055)
Approved
By 0 Date ^ �p�
❑
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date