21-101492City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PETERSON
Project Address: 830 S MARINE HILLS WAY
Project Description: Install circuit for car charge
Electrical
Permit #:21-101492-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515293 0100
Owner
Aplid
Contractor
L DOUGLAS PETERSON
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
830 S MARINE HILLS WAY
SERVICES LLC
(01)
FEDERAL WAY, WA 98003
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
AUBURN WA 98002
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Circuits - Residential
Electrical Fixtures
PERMIT EXPIRES Friday, 15 April, 2022
Permit Issued on Thursday, April 15, 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
Washington and the City of Federal Way.
Owner or agent:
FILE
Frw�
ONLINE
Date:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQ U E. TS: (253) 835-3050
PERMIT #: 21 101492 00 Address:
Project: CHERYL M PETERSON
830 S MARINE HILLS WAY
FEDERAL WAY WA 98003
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) 0
Ditch cover (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) =I
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
❑
Final - Electrical (4055)
By
Apr.❑red
4e slate
7
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
I
Approved
By
Date
By
Date
By
Date