18-103400City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:18 -103400 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: PACIFIC DENTAL BUILDING
Project Address: 164 SW CAMPUS DR Parcel Number: 415920 0715
Project Description: Installation of electrical system in new dental building (shell)
Owner
Applicant
Contractor
FEDERAL WAY COVENANT GROUP LLC
VADIM KALCHIKKIRBY ELECTRIC INC
KIRBY ELECTRIC INC
17000 RED HILL AVE
4826 "B" ST NW SUITE 101
KIRBYEI077BN (1/13/21)
IRVINE CA 92614
AUBURN WA 98001
4826 "B" ST NW SUITE 101
AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
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Add'l New Feeder(s) 0-100 am 1 AddI New Feeder(s) 101-200; 1 New Service: 601 - 800 amps ( 1
PERMIT EXPIRES Friday, 2 August, 2019
Permit Issued on Thursday, August 2, 2018
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: ON1 I Date:
-dift y `
C" or
FederalWay
PERMIT #:
Project:
TATS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
18103400 00 Address: 164 SW CAMPUS DR
FEDERAL WAY COVENANT GROIL 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.
❑
UFER Ground (4295)
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Ditch cover (4030)
0
Slab/Concrete Floor (4255)
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Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
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Feeders/Sub-panels (4045)
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Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
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Date J
By
Date
By
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Final - Electrical (4055)
Approved
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Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date