23-101966City of Federal Way
F
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I L �� 5
Communiry Development Dept
33325 8th Avc 5
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PETTIBON CHIROPRACTIC
Project Address: 30804 PACIFIC HWY S
Project Description: LED RETROFIT
Electrical
Permit #:23-101966-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 785360 0240
Owner
Applicant
Contractor
RICHLAND INVESTMENT & DEVELOPMENT
YULIYA GOLUAOVICHR V B ELECTRIC &
R V 13 ELECTRIC & CONST INC
6421 W MERCER WAY
CONST INC
RVBEl.V684IMR (7/30/24)
MERCER ISLAND WA 98040
2803 N GRANT] AVE BLDG
1523 132ND ST SE SUI FE 112
E.VERETT WA 98201
EVER-ETT WA 98208
Additional Permit Information
Is this an Online or O.T.C. application?......... ......... `F'cs
Circuits - Commercial
Electrical Fixtures
PERMIT EXPIRES Saturday, 14 October, 2023
Permit Issued on Monday, April 17, 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:
Fes- �x
CrtY W
Federal Way
THIS CARD IS TO REA Lti Oti-SITE
Construction Inspection Record
I-NSPECTION REQUESTS: (253) 335-3050
Scheduled inspections nnay be failed if this card is not on -site. DO NOT LASE THIS CARD. Inspections are listed as close to sequennaI order as possible
(read left to right. top to boTtovt). Please schedule inspections as appropriate. Rork must not be covffed until it is approved Check vmh your inspector if
you are unsttre about any of the inspections of the inspection sequence. On -going inspections are logged on the bark of this card
ELECTRICAL
0
By
LIFER Ground (429)
Approved
Date
❑
By
Ditch corer (4030)
Approved
Date
❑
By
Slab/Concrete Floor (4255)
Approved to place concrete
Date
Pool Bonding (419-5)
❑
Temporary Power (4375)
❑
Smite (4235)
Approved
Approved
Approved
By
Date
Br
Date
Br
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Eleriii[al (4225)
❑
Cefng Corer (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved _
By
r
Date fitk;�- 6--n%
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4I25)
❑
Final - ]Iechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
B}
Date
PLUMBING
❑
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
BY
Date