12-104589r 1
City 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: MARINE HILLS DENTISTRY
Project Address: 1500 S DASH POINT RD
Project Description: Install low voltage CCTV system
0 Electrical
Permit #: 12- 104589 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 052104 9027
Owner
Annliant
Contractor
DENNIS J HAHN
A D T LLC
A D T LLC
1500 S DASH POINT RD
11824 NORTH CREEK PKWY SUITE 105
ADTLLL *881DO (3/20/14)
FEDERAL WAY, WA 98023
BOTHELL WA 98011
11824 NORTH CREEK PKWY N SUITE 105
BOTHELL WA 98011
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Thursday, October 9, 2014
Permit Issued on Tuesday, October 9, 2012
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: &MILIN SLAIM Date:
%J III OWN IV ww-
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TIUS CARD IS TO MAIN ON -SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 104589 -00 -EL Address: 1500 S DASH POINT RD
Project: DENNIS J HAHN FEDERAL WAY, WA 98003 -3753
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)
Final Electrical
Approved
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date