21-100284City of Federal Way
Community Development Dept,
33325 8th Ave S
FILF
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BROOKLAKE COMMUNITY CHURCH
Project Address: 35717 PACIFIC HWY S
Project Description: 200 amp feed replaced
Owner
BROOKLAKE COMMUNITY CHURCH
629 S 356TH ST
FEDERAL WAY WA
98003-8651
Applicant
PATTY FULLERFULLER ELECTRIC INC
1220 S 356TH ST SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 aml 1
Electrical
Permit #:21-100284-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 292104 9064
Contractor
FULLER ELECTRIC (ELECTRICAL)
FULLEE1027BK (1/12/22)
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
PERMIT EXPIRES Wednesday, 26 January, 2022
Permit Issued on Tuesday, January 26, 2021
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
Washm'gton and tale City of Federal Way.
Owner or agent: Date.
r /va/
e_i:k THIS CARD IS TO REMAIN ON -SITE
FConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100284 00 Address: 35717 PACIFIC HWY S
Project: BROOKLAKE COMMUNITY CHUR FEDERAL WAY WA 98003-7447
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.
® UFER Ground (4295) ❑
Ditch cover (4030) 0 Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By Date By
Date By Date
❑ Pool Bonding (4195) ❑
Temporary Power (4275) El Service (4235)
Approved
Approved Approved
By Date By
Date By Date
0 Feeders/Sub-panels (4045) ❑
Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved
Approved Approved
By Date By
Date By Date
F17f Final - Electrical (4055)
By 4ZApproved �J
I]ate
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
lit•
Date
13y
Date
By
Date