14-104736 111 4
• 14-104736-00-EL
Electrical
City of Fedeay
Community&Econ.ral Dev.Services
33325 8th Ave SFILE Permit #:
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)835-3050
Project Name: Mry,''�j t° '
Project Address: 28626 11THROCZEK AVE S Parcel Number: 515296 0630
Project Description: INTRUSION ALARM INSTALL
Owner Applicant Contractor
DARIUSZ MROCZEK JENNIFER BURGESS A D T LLC
28626 11TH AVE S A D T LLC ADTLLL*881D0(3/20/16)
FEDERAL WAY WA 98003-3139 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 Institutional7 No
Electrical Fixtures
Low Voltage-Burglar Alarm(Res 1
PERMIT EXPIRES Saturday, March 14, 2015
Permit Issued on Monday, September 15, 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 Date:
F
ALE,
THIS CARD IS TO REMAIN ON-SITE r
CITY CIF • Construction Inection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104736-00-EL Address: 28626 11TH AVE S
Project: DARIUSZ MROCZEK FEDERAL WAY, WA 98003-3139
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
••
• •
❑ Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By VI f j? Date al i 11.
D Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date