14-105420City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ROSS
9 FILA
Project Address: 517 S 330TH PL
Project Description: Replace existing intrusion alarm
Electrical
Permit #: 14 -105420 -00 -EL
Inspection Request Line: (253) 835-3050
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Parcel Number: 132140 0030
Owner
Applican
Contractor
DERRICK ROSS
JENNIFER BURGESS
ADT LLC
517 S 330TH PL
ADT LLC
ADTLLL*881DO (3/20/16)
FEDERAL WAY WA
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
98003-5900
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Low Voltage - Burglar Alarm (Res 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Wednesday, April 15, 2015
Permit Issued on Friday, October 17, 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:
THIS CARD IS TO 91AIN ON-SITE
C,TYoF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -105420 -00 -EL Address: 517 S 330TH PL
Project: DERRICK ROSS FEDERAL WAY, WA 98003-5900
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)
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (INj Date 4 [Nr
EJ
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (INj Date 4 [Nr
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date