15-105919Efeetrcal
City of Federal Way
Community& Econ. Dev. Services Permit #: 15- 105919 -00 -EL
33325 8th Ave S - FILE
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253} 835 -2607 Fax: (253) 835 -2609 p q
Project Name: MIRROR LAKE ELEMENTARY
Project Address: 625 S 314TH ST Parcel Number. 082104 9035
Project Description: Installation of CCTV cabling for main school building.
Owner
nlican t
Contractor
FEDERAL WAY PUBLIC SCHOOLS
JAIME MEADOWS
CTS
. 33330 8TH AVE S
..CONVERGENT TECHNOLOGY SYSTEMS
CTS * *TS881BK (1/12/16)
FEDERAL WAY WA 98003 -5433
2720 SASH ST
2720 S ASH ST
TACOMA WA 98409
TACOMA WA 98409
Additional Permit Information
Electrical Work Valuation ? ............ ........................4200.00 Is this an Online or O.T.C. application ?................ Yes
Is Use Educational or Institutional ? .......................Yes Service greater than 999 Amps? ............................. No
Electrical Fixtures
Low Voltage - Other (Commercial; 14
PERMIT EXPIRES Monday, May 30, 2016
Permit Issued on Wednesday, December 2, 2015
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:
rte,,
THIS CARD IS TO MAIN ON -SITE x .
Cl" OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 15- 105919 -00 -EL Address: 625 S 314TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003 -5214
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 Final - Electric
Approved
Date
FJ
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electric
Approved
Date
FJ
Pool Bonding (4195)
E]
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electric
Approved
Date
FJ
Rough Electrical
Approved
E]
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date