23-101168City of Federal Way
Community Development Dcpl.
33325 81h Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Fl
Project Name: MARK NORDLEY, DDS
Project Address: 32020 1ST A VE S
Project Description: Retrofit LEDs in main area
Owner Applicant
32020 PROFESSIONAL PLAZA LLC JAN ROSANDERCUSTOM ELECTRICAL
9427 16TH DR W SERVICES LLC
EVERETT WA 98204 3716AUBURN WAYN
AUBURN WA 98002
Additional Pennit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits -Commercial
Electrical Fatu res
3
Electrical
Permit #:23-101168-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 172104 9058
Contractor
CUSTOM ELECTRICAL SERVICES LLC
(01)
CUSTOES893J2 (4/22/23)
3802 AUBURN WAY N SUITE 307
AUBURN WA 98002
PERMIT EXPIRES Saturday, 2 September, 2023
Permit Issued on Monday, March 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
Washington and the City of Federal Way .
Owner or agent ONLINE Date __
M Ylf,'(;)
<ITYOf' ~
Federal Way
THIS CA.RD IS TO RE~I...\.l?\ O:\"-SITE
Construction Inspection Record
:[';SPECTI0:"1-REQl"ESTS: (2 53) S3:--3050
Scheduled in.spectiOllS lll.3y ~ failed if this card is not on-site. DO :\'"OT LOSE THIS CA.RD. Inspections are listed as close to sequential order as possible
(read left to right. top ro bottom). Please schedule inspections as appropriate. Won:: must not be covered until it is approi·ed. (bed:: with your inspector if
yot1 are 1.lllS11re about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
ELECTRICAL
GJ UHR Ground (4295) [il Dit<:h cover (4030) [i] Slab/Concrete Flo01· (4255)
Ai,pro--1 ApProved Approvl!d to place conceit'
By Date By Date By Date
[TI Pool Bonding (4195) III Temporary Power (4275) 0 Senice (4235)
Apprm:ed Appro\sed Appro~·ed
By Date By Date By Date
[I) Feeders/Sub-panels (4045) III Rough :Eledriul (4225) III Ceiling Cover (4020)
Approved Appro11e<I Approved
By Date By Date By Date
[ill Final -Electrical (4055)
L:t Approved
By Date} ~/:fl J'
MECHANICAL
III 0 .... [i] Me<:baoical Rough-in (4165) Gas Pipiog (412S) Final -llechanical (4065)
Approved Appro\'l!d to Ielease test Approved
By Date By Date By D.tte
PLUMBING
u] Plumbing Groundwork (4190) 0 Rough Plumbing (4230) [TI Final -Plumbing (4075)
Appro-.ed tD tO\'t'r Approved Approved
B)· Date By Date By Date