23-103298City of Federal Way
FILE
Community Development Dept.
33325 8th Ave 5
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CISCO INSURANCE AGENCY
Project Address: 1903 SW CAMPUS DR
Project Description: Retrofit LEDs in office
Electrical
Permit #:23-103298-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 242103 9113
Owner
Applicant
Contractor
FAIR CORPORATION
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
14602 SE 63RD ST
SERVICES LLC
(01)
BELLEVUE WA 98006
3716 AUBURN WAY N
CUSTOES893J2 (4/22/25)
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
Electrical Fixtures
Circuits - Commercial 2
PERMIT EXPIRES Sunday, 24 December, 2023
Permit Issued on Tuesday, June 27, 2023
1 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: A ! Date:
CITY of 401'&
Federal Way
THIS CARD IS TO REJLAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
Scheduled inspections stay be failed if this card is not on -site. DO NOT LOSE THIS C ARD. 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 m' -Wtions are logged on the back of this card_
ELECTRICAL
0
By
UFER Ground (4295)
Approved
Date
❑
By
Ditch cover (4030)
Approved
Date
Q
By
Slab/Concrete Floor (4255)
Approved to place concrete
Date
0
Pool Bonding (4195)
❑
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved(
By
Date f //,
,
MECHANICAL
❑
Mechanical Rough -in (4165)
0
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
1❑
Plumbing Groundwork (4190)
Q
Rough Plumbing (4230)
3❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date