21-100849 . - �
� Elect�-ical
City of Federal Way ■ p�+yYf�+ �f�{• �j
Community Development DepL Pl+l 111I1. TT���-100849�o0�1:J�
33325 Sih Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: TWIN LAKES CHEVRON
Project Address: 4612 SW 320TH ST Parcel Number: 112103 9101
Project Description: Telecommunications worWwireless alarm installation.
Owner Applicant Contractor
CMBA NO 3 LLC JENN[FER COVELLOA D T LLC A D T LLC(ELECTRICAL 06)
13219 NE IOTH PL I1824 NORTH CREEK PKWY SUITE 105 ADTLLL*881D0(3/20/22)
BELLEVUE WA 98005-2726 BOTHELL WA 98011 11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
Additional Permit Informatian
Is this an Online or O.T.C.application?.................. 1'es
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Low Voltage-Burglar Alarm� 1
PERMIT EXPIRES Friday,4 March,2022
Permit Issued on Thursday,March 4,2021
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
Was � gt a the i of ederal Way. '
Owner or agent: Date:
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THIS CARD IS TO REMAIN ON-SITE
"�� Construction Ins�ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 21 100849 00 Address: 4612 SW 320TH ST
Project: CMBA NO 3 LLC 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) �❑ Ditch cover(4030) � Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
� Pool Bonding(4195) �❑ Temporary Power(4275) � Service(4235)
Approved Approved Approved
By Date By Date By Date
�❑ Feeders/Sub-panels(4045) � Rough Electrical(4225) 9❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
�� Final-Electrical(4055)
proved �
/�� �
By Date.% l
� Rough Electrical � Final Electrical � Right of Way
Approved Approved Approved
By Date By Date By Date