21-100469City of Federal Way
Community Development Dept.
Sal W Ave S
Federal Way,
WA 9800;
Ph: (253) 835-2607 Fax: (253) 835-2609 FILL
Project Name: FORUM I + II, BLDG A, Unit 1
Project Address: 33710 9TH AVE S
Project Description: Telecommunications work/wireless alarm installation.
Owner Applicant
CAMPUS BP [11 LLC JENNIFER COVELLOA D T LLC
33633 9TH AVE S 11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98003 1 BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C. application?.. -- Yes
Electrical Fixtures
Low Voltage - Burglar Alarm i 1
Electrical
Permit #:21-100469-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0140
Contractor
A D T LLC (ELECTRICAL 06)
ADTLLL*881 DO (3/20/22)
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
PERMIT EXPIRES Tuesday, 8 February, 2022
Permit Issued on Monday, February 8, 2021
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:
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CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100469 00 Address:
Project: CAMPUS BP III LLC
33710 9TH AVE S Unit I
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.
0
UFER Ground (4295) ❑
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
Q
Pool Bonding (4195) ❑
Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
El
Feeders/Sub-panels (4045) 0
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
i+z
Final - Electrical (4055)
Approved
By
LezDate a,
El
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date