23-100245City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FW MEDICAL -DENTAL GRP LLC
Project Address: 1014 S 320TH ST
,� Electrical
it Permit #:23-100245-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9234
Project Description: Retrofit LEDs in 3 units (Onuri Pharmacy, Dental Clinic, and Jeffrey's Jewelry)
Owner
Applicant
Contractor
FW MEDICAL -DENTAL GRP LLC
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
PO BOX 23314
SERVICES LLC
(01)
FEDERAL WAY, WA 98093-0314
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
Circuits - Commercial
Electrical Fixtures
13
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
- s n. ton a th; OiWof Federal Way
Owner or agent:
VIVL{IAL
%^/l1/X)
Date:
Ai��
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100245 00
Address:
1014 S 320TH ST
Project: FW MEDICAL -DENTAL GRP LLC
FEDERAL WAY WA 98003-5344
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSETHIS 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) 0
Ditch cover (4030)
3❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
Q Pool Bonding (4195)
Q Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By Date
Q
Feeders/Sub-panels (4045)
]
Rough Electrical (4225)❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
Q Final - Electrical (4055)
By
Approved
Date1A
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date