14-105848 • Electrical
City of
Community&EconrDe.ServicesFILE ay
Permit #: 14-105848-00-EL
33325 8th Ave S
Federal Way,WA: 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: SOUND INTERNAL MEDICINE
Project Address: 34716 1ST AVE S Parcel Number: 202104 9013
Project Description: Install CCTV system
Owner Applicant Contractor
IGNATIUS MEDANI JENNIFER BURGESS A D T LLC
34716 1ST AVE S A D T LLC ADTLLL*881D0(3/20/16)
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-Other(Commercial 1
PERMIT EXPIRES Saturday, May 9, 2015
Permit Issued on Monday, November 10, 2014
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: ON
Date:
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• r THIS CARD IS TO ON-SITE
CITY OF .,,, ,,
'Construction In rection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-105848-00-EL Address: 34716 1ST AVE S
Project: IGNATIUS MEDANI FEDERAL WAY, WA 98003-6760
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) •0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
# "
0 Final-Electrical(4055)
Approved
�.ZDate llket
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date