13-101616 r 1
City of Federal Way
Community&Econ.Dev.Services •Permit #: 13-101616-00-E L
33325 8th Ave S
111F
Federal Way,WA 98003 I L Ectrical
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MINI SUPER LA FAMILIAR
Project Address: 29100 PACIFIC HWY S Unit 1/2 Parcel Number: 042104 9073
Project Description: install low voltage security system
Owner Applicant Contractor
MINISUPER LA FAMILIAR JENNIFER BURGESS A D T LLC
29100 PACIFIC HWY S SUITE 1/2 A D T LLC ADTLLL*881DO(3/20/14)
FEDERAL WAY WA 98003 11824 NORTH CREEK PKWY SUITE 105 11824 NORTH CREEK PKWY 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, April 15, 2015
Permit Issued on Monday,April 15, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the Ci of I Way.
Owner or agent ONL1 Date:
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• THIS CARD IS TO ON-SITE
A ,
CITY of Construction In ection Record
Federal Way . INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101616-00-EL Address: 29100 PACIFIC HWY S Unit 1/2
Project: MINISUPER LA FAMILIAR 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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
_/� Approved
By �C Date ,-"//—/
FILL
0 Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
.