15-105541City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•
FILE
Project Name: ADELAIDE ELEMENTARY SCHOOL
Project Address: 1635 SW 304TH ST
Project Description: Installation of CCTV Cabling
0 Electrical
Permit #: 15 -105541 -00 -EL
Inspection Request Line: (253)835-3050
Parcel Number: 122103 9084
Owner
nlicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
JAIME MEADOWS
C T S (CONVERGENT TECHNOLOGY
33330 8TH AVE S
CONVERGENT TECHNOLOGY SYSTEMS
SYSTEMS)
FEDERAL WAY WA 98003-5433
2720 SASH ST
CTS"TS881BK (1/12/16)
TACOMA WA 98409
2720 S ASH ST
TACOMA WA 98409
Additional Permit Information
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 1
PERMIT EXPIRES Sunday, May 1, 2016
Permit Issued on Tuesday, November 3, 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 Ci deral Way.
Owner or agent: Date:
'4&ITHIS BARD IS TO VIAIN ON-SITE
CITYOF'400 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -105541 -00 -EL Address: 1635 SW 304TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98023
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.
13
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
El
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
13
Pool Bonding (4195)
Temporary Power (4275)
El
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date
,,L
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date