13-100073 • Electrical
City of Federal Way ' 13-100073-00-EL
Community&Econ.AveServices ' Permit #:
33325 8th ve S
Federal Way,WA 98003 FInspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q j
Project Name: RETINA SPECIALIST NW
Project Address: 33915 1ST WAY S Suite 120 Parcel Number: 926504 0150
Project Description: Install low voltage security system
Owner Applicant Contractor
RETINA SPECIALIST NORTHWEST,PLLC JENNIFER BURGESS A D T LLC
33915 1ST WAY S SUITE 120 A D T LLC ADTLLL*881D0(3/20/14)
FEDERAL WAY WA 98003 11824 NORTH CREEK PKWY SUITE 105 11824 NORTH CREEK PKWY N SUITE 105
BOTHELL WA 98011 BOTHELL WA 98011
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps No
Electrical Fixtures
Low Voltage-Burglar Alarm(Cor 1
PERMIT EXPIRES Wednesday, January 7, 2015
Permit Issued on Monday, January 7, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w'I be in accordance with thelaws, rules and regulations of the State of Washington
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LiNiEFederal
Way.
Owner or agent: Date:
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~ THIS CARD IS TO MAIN ON-SITE
CITY OF 111.1 • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100073-00-EL Address: 33915 1ST WAY S Suite 120
Project: RETINA SPECIALIST NORTHWES1 FEDERAL WAY, WA 98003
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.
El LIFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
'0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ' ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
`0 Final-Electrical(4055)
Approved
y Date (-- ---
„,..„
D Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date