19-100964f
Electrical
City of Federal Way Permit #:19 -100964 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003' Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 8352609
LE
Project Name: HENGEN
Project Address: 30827 21ST AVE SW Parcel Number: 416760 0040
Project Description: 200 amp panel upgrade
Owner
Applicant
Contractor
BENJAMIN HENGEN
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
30827 21ST AVE SW
SERVICES LLC
(01)
FEDERAL WAY WA 98023
3716 AUBURN WAY N
CUSTOES893J2 (4/22/19)
AUBURN WA 98002
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 ami I
PERMIT EXPIRES Saturday, 29 February, 2020
Permit Issued on Friday, March 1, 2019
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
W ing n t ity of Federal Way.
Owner oragent: 0 Date:
crrr or
Federal Way
PERMIT #: 19100964 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 30827 21ST AVE SW
Project: BENJANM HENGEN FEDERAL WAY WA 98023-7802
Scheduled inspections may be 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)
ID
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
Q
Ceiling Cover (4020)
Service (4235)
Approved
Approved
IBY
Approved
Approved
rBy
Approved
By
Dat!
By
Dat!
By
Date S _%
Final - Electrical (4055)
Approved
By Date ,
Feeders/Sub-panes (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date ,
Rough Electrical
0
Final Electrical
Right of Way
Approved
Approved
IBY
Approved
By
Date
By
Date
Date