22-102507City of Fed" Wey
Community Develvpmont Dept.
33325 Sih Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Electrical
Permit #:22-102507-00-EL
Inspection Request Line: (253) 835-3050
Project Name: PSE CELL TOWER
Project Address: ** CITY WIDE ** Parcel Number: 000000 0000
Project Description: Install fiber box for cell tower at approximately 21s Ave SW and SW 325th Pl. Service and
panel replacement.
Owner
Applicant
Contractor
PUGET SOUND ENERGY
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
PO BOX 90868
SERVICES LLC
(01)
BELLEVUE WA 98009-0868
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
AUBURN WA 98002
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Low Voltage - Other (Commel
Electrical Fixtures
PERMIT EXPIRES Tuesday, 29 November, 2022
Permit Issued on Thursday, June 2, 2022
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
hi n a�d�i�Federal Way.
Owner or agent: ODate;
_N�_
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
22 102507 00
PUGET SOUND ENERGY
Address: ** CITY WIDE **
FEDERAL WAY
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE THIS 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)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Q Pool Bonding (4195) Temporary Power (4275) ® Service (4235)
Approved Approved Approved
By Date By Date By 4Date
Q
Feeders/Sub-panels (4045)❑
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
1U Final - Electrical (4055)
Approved
By Date , �_�
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date