10-102085City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 10 -102085 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS
Project Address: 841 S 308TH ST
Project Description: PSE lighting retrofit
Parcel Number: 082104 9148
Owner
Applicant
Contractor
CHURCH OF JESUS CHRIST OF LATTER
JILL DAVIS
CAPITAL LIGHTING COMPANY INC
DAY SAINTS
CAPITAL LIGHTING
CAPITLC964RN (12/15/10)
50 E NORTH TEMPLE
287 SW 41ST ST
287 SW 41ST ST
SALT LAKE CITY UT 84150-0002
RENTON WA 98057
RENTON WA 98055
Additional Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 1000 Amps? ....... .,.................. No
Electrical Fixtures
Circuits - Commercial...... .............. 1
PERMIT EXPIRES Friday, May 20, 2011
Permit Issued on Thursday, May 20, 2010
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 _ Date: S ®- a
FiVeL Z—D 91Z4
/w
CITY OF
Federal Way
PERMIT #:
Owner:
11IS CARD IS TO "EMAIN ON-SITE
Construction Inspection Record
INSPECTION REQU TS: (253) 835-3050
10 -102085 -00 -EL Address: 841 S 308TH ST
CHURCH OF JESUS CHRIST OF Lj FEDERAL WAY, WA 98003-4705
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.
Final - Electrical (4055)
Approved
Date s_
El
LIFER Ground ( 5)
Uiteb cover (4030)
El
Slab/Concrete Floor (4255)
L1
Approved
rBy
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date s_
El
Pool Bonding (4195)7
Temporary Power (4275)
L1
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date s_
El
Rough Electrical
Approved
Final Electrical
Approved
L1
Right of Way
Approved
By
Date
By
Date
By
Date