16-104640City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FILE ._0
Electrical
Permit #: 16- 104640- 00 -.EL
Project Name: RIVERSTONE APARTMENTS EXERCISE ROOM
Project Address: 27314 24TH AVE S
Project Description: Install low voltage CCTV system
Inspection Request Line: (253) 835 -3050
Parcel Number. 720480 0004
Owner
Apl2lican
Contractor
VANCE DIERKING
JENNIFER COVELLO
A D T LLC (ELECTRICAL 06)
2 EAST MAIN ST SUITE 520
A D T LLC
ADTLLL" 881DO (3/20/18)
AUBURN WA 98002
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Electrical Work Valuation ? ........... .........................352.00 Is this an Online or O.T.C. application ?................ Yes
Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fisrtures
Low Voltage - Other (Commercial 1
PERMIT EXPIRES Tuesday, September 19, 2017
Permit Issued on Monday, September 19, 2016
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: h I I I h I r7o Date:
F1NALED
e
FCffW ederal Way
PERMIT #:
Project:
TAIS BARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
16- 104640 -00 -EL Address: 27314 24TH AVE S
VANCE DIERKING FEDERAL WAY, WA 98003 -8265
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 - ectrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way -�
Approved Approved Approved
By Date By Date By Date
UFER Ground )
0
Fitch cover (
0
Slab/Concrete Floor
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - ectrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way -�
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub- panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - ectrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way -�
Approved Approved Approved
By Date By Date By Date