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City of Federal way Permit #: 1,5 -102438 -00 -EL
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 r
ILE
Ph: (253) 835-2607 Fax (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: DOBBINS
Project Address: 29821 12TH AVE SW Parcel Number: 515320 0107
Project Description: add devices to existing low voltage intrusion alarm
Owner
ApRilican
Contractor
DAVID DOBBINS
JENNIFER BURGESS
ADT LLC
LYNN B DOBBINS
A D T LLC
ADTLLL" 881DO (3/20/16)
2982112TH AVE SW
11824 NORTH CREEK PKWY SUM 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98023
BOTHELL WA 98011
BOTHELL WA 98011
Is this an Online or O.T.C. application?
Low Voltage - Burglar Alarm (Res
Additional Permit Information
Yes
Electrical Fixtures
1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Wednesday, November 18, 2015
Permit Issued on Friday, May 22, 2015
I hereby certify that the above information is correct and that the construction on the above described properly 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:
THIS CARD IS TO REMAIN ON-SITE
MY OF � � � Construction InsAction Record
Federal Way INSPECTION REQUE S: (253) 835-3050
PERMIT #:
15 -102438 -00 -EL Address: 29821 12TH AVE SW
Project: DAVID DOBBINS FEDERAL WAY, WA 98023-3407
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.
o
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Approved
Slab/Concrete Floor (4255)
Approved
0
Approved
0
Approved
By
to place concrete
By
Date
By
Date
By
Date
Rough Electrical
Approved
Temporary Power (4275)
Approved
0
Service (4235)
Approved
0
Pool Bonding (4195)
Approved
By
Date
Date
By
Date
Date
By
Date
❑
Ceiling Cover (4020)
Approved
Rough Electrical (4225)
Approved
Feeders/Sub-panels (4045)
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date