16-104174A s- 4
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CZUK
FILE
Electrical
Permit #: 16- 104174 -00,EL
Inspection Request Line: (253) 835 -3050
Project Address: 813 SW 354TH ST . Parcel Number: 0662310810
Project Description: Install conversion module on existing intrusion alarm system
Owner
MARY H CZUK
ARplican t
JENNIFER COVELLO
Contractor
A D T LLC (ELECTRICAL 06)
MITCHELL F CZUK
A D T LLC
ADTLLL *881D0 (3/20/18)
813 SW 354TH ST
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98023
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit information
Electrical Work Valuation ? ........ ............................300
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is this an Online or O.T.C. application ? ................. es
PERMIT EXPIRES Thursday, August 24, 2017
Permit Issued on Wednesday, August 24, 2016
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: h I C Date:
F�iV'T:.LED,
THIS CARD IS TO REMAIN ON -SITE
FCffV ederal W THIS
Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
SITE
PERMIT #: 16- 104174-00 -EL
Project: MARY H CZUK
Address: 813 SW 354TH ST
FEDERAL WAY, WA 98023 -8124
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.
By
Ground
Ditch cover 0) Slab/Concrete Floor (
By
Approved
Approved Approved to place concrete
By
Date By
Date By Date
Pool Bonding (4195)
Temporary Power (4275) '0 Service (4235)
Approved
Approved Approved
By
Date By
Date By Date
Feeders/Sub- panels (4045) 0
Rough Electrical (4225) [ Ceiling Cover (4020)
Approved
Approved Approved
By
Date By
Date By Date
0
Final - Electrical (4055)
Approved
By
Date
SITE
Rough Electrical
Approved
Final "Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date