12-102219s 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
Project Name: BUSHEY
0
FILE
Project Address: 30506 12TH PL SW
Project Description: INTRUSION ALARM INSTALL
- -- . . 1 0 ► Electrical
Permit #: 12- 102219 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 178850 0070
Owner
Api2lican
Contractor
RICHARD L BUSHEY
ADT SECURITY SERVICES
A D T SECURITY SERVICES INC
30506 12TH PL SW
NORTHWEST PERMIT INC
ADTSESI03205 (9/25/13)
FEDERAL WAY WA
11824 N CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY N SUITE 105
98023
BOTHELL WA 98011
BOTHELL WA 98011
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Sunday, May 18, 2014
Permit Issued on Friday, May 18, 2012
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
f Federal Way.
Owner or agent: ON Date:
FINALED (0/m/12
4%
Federal Way
. THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 102219 -00 -EL Address: 30506 12TH PL SW
Project: RICHARD L BUSHEY FEDERAL WAY, WA 98023 -8229
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 Final - Electrical (4055)
Approved
C Date Z 2�
FILE
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
El
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
C Date Z 2�
FILE
Pool Bonding (4195)
❑
Temporary Power (4275)
El
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
C Date Z 2�
FILE
Rough Electrical
Approved
❑
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date