23-101964r 5
t 1 91
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
ILE,
Project Name: SPECIAL EDITION OF AMERICA, Unit A
Project Address: 30640 PACIFIC HWY S
Project Description: LED RETROFIT
Electrical
Permit #:23-101964-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9102
Owner
Applicant
Contractor
LONG LESPECIAL EDITION OF AMERICA
YULIYA GOLUBOVICHR V B ELECTRIC &
R V B ELECTRIC & CONST INC
6612 NE 1ST ST
CONST INC
RVBELVB841M8 (7/30/24)
RENTON WA 98059
2803 N GRAND AVE BLDG
] 523 132ND ST SE SUITE 112
EVERETT WA 98201
EVERETT WA 98208
Is this an Online or O.T.C. application?........
Circuits - Commercial
Additional Permit Information
Yes
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
ORL
n and t y,:of Federal Way.
Owner or agent: Date'
CITY or
Federal Way
THIS CARD IS TO REAUUN O\-SITE
Construction Inspection Record
LNSPECTIOti REQUESTS: (2143) 535-3050
Scheduled inspections mat- be failed if this card is not on -site. DO NOT LOSE THIS CWRD. Inspections are listed as close to sequential order as possible
(read left to right. top to bottom). Please schedule inspections as appropriate. Fork 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.
ELECTRICAL
❑
UFER Ground (4295)
❑
Ditch corer (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date -
By
Date
By
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
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)
pproved
By
Date
MECHANICAL
❑ Jechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
0 Plumbing Groundwork (4190)
Approved to cover
By Date
❑ Rough Plumbing (4230) ❑ Final - Plumbing (4075)
Approved Approved
By Date By Date
CITY OF Building D?vision
33325 Eighth Avenue South
Federal
Way Federal Way, 98003-6325
Phone 253-835-2607 Faxx 253-835835-2609
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CORRECTION NOTICE
ADDRESS: J���4 �.� ��. PERMIT#:
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE Page of