20-102400City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HPA USI LLC
Project Address: 105 SW 292ND ST
Project Description: Panel replacement and rewire home
Owner
HPA US 1 LLC
120 RIVERSIDE PLAZA STE 2000
CHICAGO IL 60606
Applicant
JAN ROSANDERCUSTOM ELECTRICAL
SERVICES LLC
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml l
Electrical
Permit #:20 -102400 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0985
CUSTOM ELECTRICAL SERVICES LLC
(01)
CUSTOES893J2 (4/22/21)
3716 AUBURN WAY N
AUBURN WA 98002
PERMIT EXPIRES Saturday, 19 June, 2021
Permit Issued on Friday, June 19, 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: Date.
AsTHIS CARD IS TO REMAIN ON-SITE
CITY OFConstruction Ins ection Record
Federal Way INSPECTION REQUEPTS: (253) 835-3050
PERMIT #: 20 102400 00 Address: 105 SW 292ND ST
Project: HPA USI LLC FEDERAL WAY WA 98023-3501
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
LIFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
By Date
Approved
By D lb Date '7
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0 Temporary Power (4275)
® Service (4235)
Approved
Approved
¢� Approved
By Date
By Date
By D lb Date '7
®
Feeders/Sub-panels (4045)
Q
Rough Electrical (4225)
El
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E0 Final - Electrical (4055)
Ipproved
QUw a.
By Date
Rough ElectricalEl
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date