13-105139 City of Federal Way • Electrical
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Community&Econ.Dev.Services Permit #: 13-105139-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: RETINA SPECIALISTS NW
Project Address: 33915 1ST WAY S Unit 120 Parcel Number: 926504 0150
Project Description: INTRUSION ALARM INSTALL-ADD
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP JENNIFER BURGESS A DT LLC
5910 MINERAL POINT RD A D T LLC ADTLLL*881D0(3/20/14)
MADISON WI 53701 11824 NORTH CREEK PKWY SUITE 105 11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011 BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Burglar Alarm(Cor 1
PERMIT EXPIRES Saturday, May 17, 2014
Permit Issued on Monday, November 18, 2013
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:
ON LIN E
THIS CARD IS TO ,MAIN ON-SITE `
CITY OF - 0Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105139-00-EL Address: 33915 1ST WAY S Unit 120
Project: CUNA MUTUAL INVESTMENT COF 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.
O UFER Ground(4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved \ i
By VMO Date \k w 1 It
O Rough Electrical Final Electrical1=1 Right of Way
Approved Approved Approved
By Date By Date By Date