23-101303City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BEMIS
Electrical
Permit #:23-101303-00-EL
Inspection Request Line: (253) 835-3050
Project Address: 30807 28TH AVE S Parcel Number: 092104 9178
Project Description: Install dedicated circuit for outdoor puck lights
Owner
Applicant
Contractor
JEANETTE BEMIS
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
30807 28TH AVE S
SERVICES LLC
(01)
FEDERAL WAY WA
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
98003-5104
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
-now Electrical Fixtures ~— �-
Circuits - Residential 1
PERMIT EXPIRES Wednesday, 6 September, 2023
Permit Issued on Friday, March 10, 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: Date:
rr, I � a,)
-4k
CITY 01
Federal Way
THIS CARD IS TO RE]LAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (2-53) 335-3050
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TMS 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.
ELECTRICAL
❑
UFER Ground (4295)
Q
Ditch cover (4030)
❑
Slab/Coucrete 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
El
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
ByArle
pproted
Date_7-A -,V
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
Final -Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
0
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
BY
Date