21-104833City of Federal Way
Community Development Dept. _
33325 8th Ave S
Federal Way, WA 98003 —J
Ph: (253) 835-2607 Fax: (253) 835-2609 L E
Project Name: VILLAGE GREEN
Project Address: 35419 1ST AVE S
Project Description: 2 circuits for receptacles
Electrical
Permit #:21-104833-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 302104 9024
Owner
Applicant
Contractor
VILLAGE GREEN FEDERAL WAY
PATTY FULLERFULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
PO BOX 98309
1220 S 356TH ST SUITE A-5
FULLEEI027BK (1/12/22)
DES MOINES WA 98198
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................. Yes
Electrical Fixtures
Circuits - Commercial 2
PERMIT EXPIRES Thursday, 17 November, 2022
Permit Issued on Wednesday, November 17,- 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
W shi on th f Federal Way.
Owner or agent:
Date:
K, e A -vk I
_i:k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 104833 00
Address:
35419 1ST AVE S
Project: VILLAGE GREEN FEDERAL 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.
UFER Ground (4295) 2❑
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
0
Pool Bonding (4195) ®
Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
0
Feeders/Sub-panels (4045) ®
Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date.
o Final - Electrical (4055)
1\ppr{1VCd
By
Date -
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date