14-103435 I y * e . r •
• Electric .,
City of Federal Way FILE
Community&Econ.Dev.Services Permit #: 14-103435-00-EL
33325 8th Ave S
Federal Way,WA 98003 253 Request Inspection Re Line:
Ph:(253)835-2607 Fax (253)835-2609 p Q )83 5-3050
Project Name: BENISA
Project Address: 28906 13TH AVE S Parcel Number: 516210 0410
Project Description: CCTV INSTALL
\
Owner Applicant Contractor
JOSEF S BENISA JENNIFER BURGESS A D T LLC
JAZZMINE Y BENISA A D T LLC ADTLLL*881D0(3/20/16)
28906 13TH AVE S 11824 NORTH CREEK PKWY SUITE 105 11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98003 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
Electrical Fixtures
Low Voltage-Burglar Alarm(Res I
PERMIT EXPIRES Wednesday, January 7, 2015
Permit Issued on Friday, July 11, 2014
I hereby certify that the above information iscorrect 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
nd C ederal Way.
Owner or agent: Date:
THIS CARD IS TO MAIN ON-SITE '
CITY •
OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103435-00-EL Address: 28906 13TH AVE S
Project: JOSEF S BENISA FEDERAL WAY, WA 98003-3764
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.
❑ UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
Pool Bonding(4195) '❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Com, Dateyt.,,fie 1 f
FILE
. ,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date