16-105355t . -l'
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 835 -2609
Project Name: CHURCH
Project Address: 28901 15TH PL S
Electrical
Permit #:16- 105355 -00 -EL
FILE Inspection Request Line: (253) 835 -3050
Project Description: Alarm panel update and camera install
Parcel Number: 516210 0280
Owner
Applicant
Contractor
RONALD CHURCH
JAMES RUSSELLPRINCE TELECOM INC
PRINCE TELECOM INC
28901 15TH PL S
13701 E 24TH ST
PRINCTI939KW (5/16/17)
FEDERAL WAY WA 98003
SUMMER WA 98390
13701E 24TH ST
USA
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Low Voltage - Other (Residem 1 Low Voltage - Burglar Alarm 1 1
PERMIT EXPIRES Wednesday, 8 November, 2017
Permit Issued on Tuesdav, November 8, 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: Date:
� u
cffV CW
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16105355 00 Address: 28901 15TH PL S
Project: DONNA D CHURCH FEDERAL WAY WA 98003 -3757
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)
0
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
1
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
19 Final - Electrical (4055)
Approved
By c Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date