23-100631Electrical
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: ABSOLUTE CANA ACUPUNCTURE CLINIC
Project Address: 33515 LOTH PL S
Project Description: Retrofit LEDs in main building, main area
Permit #:23-100631-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926925 0100
Owner
Applicant
Contractor
ABSOLUTE-CANA ACCUPUNCTURE CLINIC
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
30806 PACIFIC HWY S SUITE A
SERVICES LLC
(01)
FEDERAL WAY WA 98003
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 2
PERMIT EXPIRES Saturday, 5 August, 2023
Permit Issued on Monday, February 6, 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
WashigAgn a d.the f Federal Way.
+.� _
Owner or agent: - � T Date:
crtr or -
Federal Way
THIS CARD IS TO RElI_-I\ O\-SITE
Construction Inspection Record
INSPEC'TIO\ REQUESTS: (253) 335-3050
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TBIS 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 unnue about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
ELECTRICAL
LIFER 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)
El
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El Final - Electrical (4055)
By
Approved !J l�j�
Date 12- "/ ���
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
❑
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date