20-105036City of Federal Way
Applicant
Community Development Dept
KARL EDMARK
33325 8th Ave S
FILE
Federal Way, WA 98003
CONTRACTORS INC
Ph: (253) 835-2607 Fax: (253) 835-2609
SEATTLE, WA 98116
Project Name: REDONDO HEIGHTS DIALYSIS
Project Address: 27320 PACIFIC HWY S
Project Description: Installing (1) receptacle.
Electrical
Permit #:20 -105036 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 872992 0020
Owner
Applicant
Contractor
KARL EDMARK
LIN ROGERSLIN R ROGERS ELECTRICAL
LIN R ROGERS ELECTRICAL INC
2701 CALIFORNIA AVE SW SUITE 124
CONTRACTORS INC
(ELECTRICAL 01)
SEATTLE, WA 98116
2050 N MARCONI DR SUITE 200
LINRRRR956BI(1/29/21)
ALPHARETTA GA 30005
2050 N MARCONI DR SUITE 200
ALPHARETTA GA 30005
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fimure•
Circuits - Commercial 1
PERMIT EXPIRES Tuesday, 28 December, 2021
Permit Issued on Monday, December 28, 2020
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: C)KII I KI P Date:
TTS
CITY OF
Federal Way
PERMIT #: 20 105036 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 27320 PACIFIC HWY S
Project: KARL EDMARK FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE Tills CARD. inspections are listed as close to sequential order as possible
(read lett 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)
Q
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
❑
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
Q
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)
ZeDate a�By
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way ^Y
Approved
Approved
Approved
By
Date
By
Date
By
Date— _._--_