23-102267Chy orF,dt nll Way
Cornmunhy Ocvclopmcnt Dept
33325 81h Ave S
Federal Way, WA. 98003
Ph: (253) 635-2607 Fax: (253) 835-2609
Project Name: TWIN LAKES CHIROPRACTIC
Proj ect Address: 1107 S 347TH PL
Project Description: Re trofit LEDs in main area a nd basement
Owner Applicant
COMMONWcALT fl PROP ERTIES JAN ROSAN DERCUSTOM ELEC"TRICA L
1107 S 34 7TH PI. SERVI CES Ll.C
r EDERAL WAY WA 98003 37 16 AUBURN WA Y N
AUB URN WA 98002
Additional Permit Information
ls this an Online orO.T .C. applicati on? .. -......... -..... Yes
Circuits -Commercial
Electrical Fixtures
3
Electrical
Permit #:23-102267 -00-EL
Inspection Request Line: (253) 835-3050
Parcel N umber : 215470 00 10
Cont racto r
CUSTOM ELECTRICAL SER VI CE S LLC
(Ol )
CUST0 ES893J2 (4/22/25)
3802 AUBURN WAY N SU IT E 307
AUBURN WA 98 002
PERMIT EXPIRES Wednesday, 25 October, 2023
Permit Is sued on Friday, April 28, 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, rul es and regulations of the State of
da~T anld ~i!:Federal Way .
Owner or agent: ~ ~ _ ~ t':: Date: _________ _
C ll Y Of'
Federal Way
THIS CARD I S TO RL'fA.1."', O:'\-SITE
Construction Inspection Record
I:\"S PECTIO:'\ REQl""E ST S: (233) S33-3030
Scheduled inspections may be faikd if tlu s card is uot on -site. DO ~OT LOSE THIS (ARD. lnspections Me ltsted as clo~ 10 sequeut1:11 order as possible
(read left to right. top to bortoru) Ple:ise schedule inspec tions as appropn;ue 1,\'ork mu.,"'t not be cowred until it is Jpprowd . (beck with your inspector if
you are UllSUre about any of the m.,pect1ous or tile inspec11ou sequenc e. Ou-going inspections are logged on the back of tlus c:ird
ELECTRICAL
El UHR Gro und (4295) 0 Ditch cowr (4030) GJ Slab/Concrete Floor {4255)
Approv~ Approved Approved ro place conCRte
By Date By Date By Date
IT] Pool Bouding (419S) [I] Tempora~· Power (427S) 0 Senic-e (423 5)
ApprO\~ Appro1;ed ApprO'-·ed
Br Date By Date Br Date
D F eder:'i/S ob-pauels ( 4045) II] Rough :Uechical (4?25) [I] C eiling C over (4020)
Approved Appro \'l?d /\ppro~
B~· Date Br Date B y Date
Fiul -Electrical (4055)
By t / ~::7 a, r ,AJ 1
MECHANICAL
[!] :\fechanical Rough-in (4165) [1] Gu Piping (4125) D Final -Mec baniul (4065)
Approved -~pr(>\~ to release test Approvtd
By Date By Dilte B y Date
PLUMBING
E] Plambiug Gro11Dd·work (4190) [I] Rough Plumbing ( 4230) III Final -Plumbing (407S)
Appro,~ to c01.~r Approv~d AJ)proved
By Date By Date B ~· Date