16-103684City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 C " C
Ph: (253) 835 -2807 Fax: (253) 835 -2809
Project Name: DARBYSHIRE
Project Address: 628 SW 294TH ST
Project Description: 3 cameras
it J
Electrical
Permit #: 16- 103684 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 1196001896
Owner
ARRIlcan
Contractor
LAWRENCE DARBYSHIRE
JAMES RUSSELL
PRINCE TELECOM INC
628 SW 294TH ST
PRINCE TELECOM INC
PRINCT1939KW (5/16/17)
FEDERAL WAY WA 98023
13701 E 24TH ST
13701 E 24TH ST
SUMNER WA 98390
SUMNER WA 98390
Additional Permit Information
Electrical Work Valuation ? ........... .........................400.00 Is this an Online or O.T.C. application ?................ Yes
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Other (Residential). 1
PERMIT EXPIRES Saturday, July 29, 2017
Permit Issued on Friday, July 29, 2016
1 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: I I k 19 Date:
U IN L I I N LWN-
C"T or
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record A
INSPECTION REQUESTS: (253) 835 -3050
16- 103684 -00 -EL Address: 628 SW 294TH ST
LAWRENCE DARBYSHIRE FEDERAL WAY, WA 98023 -3541
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.
0 Feeders/Sub- panels (4045)
Approved
By Date
o Final - Electrical (4055)
Approved
By • Date
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
Ditch ( )
Temporary Power (4275)
Slab/Concrete Floor
Appmed
By
Approved
to plwe concrete
By
Date
By
Date
By
Date
0 Feeders/Sub- panels (4045)
Approved
By Date
o Final - Electrical (4055)
Approved
By • Date
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0 Feeders/Sub- panels (4045)
Approved
By Date
o Final - Electrical (4055)
Approved
By • Date
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date