14-100817Electrical
Permit #: 14 -100817 -00 -EL
Project Name: RETINA SPECIALIST NW
Project Address: 33915 1ST WAY S Unit V10—
Project Description: WIRE/REWIRE SYSTEM AND DEVICES/WIRING
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0150
Owner
AR12lican
City of Federal Way
Community &Econ. Dev. Services
CUNA MUTUAL INVESTMENT CORP
33325 8th Ave S
FILE
Federal Way, WA 98003
ADT LLC
Ph: (253) 835-2607 Fax. (253) 835-2609
MADISON WI 53701
Electrical
Permit #: 14 -100817 -00 -EL
Project Name: RETINA SPECIALIST NW
Project Address: 33915 1ST WAY S Unit V10—
Project Description: WIRE/REWIRE SYSTEM AND DEVICES/WIRING
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0150
Owner
AR12lican
Contractor
CUNA MUTUAL INVESTMENT CORP
JENNIFER BURGESS
A D T LLC
5910 MINERAL POINT RD
ADT LLC
ADTLLL*881DO (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 ^_� r
PERMIT EXPIRE
Permit Issued
I hereby certify that the above information
the occupancy and the use will b&In ga
Owner or agent:
C,
and
ry
sday, ugust 20, 2014
Febru 21,
, 2014
-,t and th0trtruction on the above described property and
withthe , rules and regulations of the State of Washington
amity_ eral Way.
Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -100817 -00 -EL Address: 33915 1 ST WAYS 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.
Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
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 - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CITY
Way
' Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: e':_5 SSR �. S ► si- w&n PERMIT#:�t1_-- I 9z p � 1`1--0Rs
IF YOU HAVE QUESTIONS CALL
(253) 835- 2
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
LP ---tom
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
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