21-102145City of Federal Way
Community Development Dept.
33325 8th Ave S
FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: AVALON CARE CENTER
Project Address: 135 S 336TH ST
Project Description: Install circuit for compactor
Electrical
Permit #:21-102145-00-E 'L
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0110
Owner
Applicant
Contractor
135 SOUTH 336TH STREET LLC
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
6380 WILSHIRE BLVD SUITE 800
SERVICES LLC
(01)
LOS ANGELES CA 90048-5019
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 - Commercial
Electrical Fixtures
PERMIT EXPIRES Thursday, 2 June, 2022
Permit Issued on Wednesday, June 2, 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: Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF
Federal Way
Constriction Ins ection Record
INSPECTION REQUF. TS: (253) 835-3059
PERMIT #: 21 102145 00
Address: 135 S 336TH ST
Project: 135 SOUTH 336TH STREET LLC FEDERAL WAY WA 98003-6601
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) 0 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)
Approved
By Date
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
I
Approved
By
Date
By
Date
By
Date