17-102356 •
Electrical
City of Federal Way FILE
Permit #:17-102356-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NORTHWEST WELLNESS CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number:202104 9145
Project Description: Replace existing low voltage intrusion alarm,connect to existing devices,add devices
Owner Applicant Contractor
LORRI A NICHOLS LLC JENNIFER COVELLOA D T LLC A D T LLC(ELECTRICAL 06)
34730 PACIFIC HWY S 11824 NORTH CREEK PKWY SUITE 105 ADTLLL*881D0(3/20/18)
FEDERAL WAY WA 98003 BOTHELL WA 98011 11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Burglar Alarm i 1
PERMIT EXPIRES Thursday,17 May,2018
Permit Issued on Wednesday,May 17,2017
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.
LINEOwner or agent: Date:
et)
v‘titiNtos
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CHIS CARD IS TO REMAIN ON-SITE
"�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102356 00 Address: 34730 PACIFIC HWY S
Project: LORRI A NICHOLS LLC FEDERAL WAY WA 98003-6821
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 UFER Ground(4295) "Q Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•® Pool Bonding(4195) EI 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
0 Final-Electrical(4055)
Approved
By WI* Date 1.i(`i 1,1
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date