12-10006311 !1.
City of Federal Way •
C& E D v S —ices
Electrical
ommuniq con. e . e Permit #. 12 -100063 -00 -EL
33325 8th Ave S
W
Federal Way, WA 98003Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Project Name: STEPHENS���
Project Address: 138 S 361ST PL Parcel Number: 113780 0310
Project Description: Install cctv system
Owner
Applicant
Contractor
RICHARD J & SUSAN STEPHENS
ADT SECURITY SERVICES
A D T SECURITY SERVICES INC
138 S 361ST PL
NORTHWEST PERMIT INC
ADTSESI03205 (9/25/13)
FEDERAL WAY WA 98003
11824 N CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY N SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
v
r'0 I son
Is Use Educational or Institutional? ....................... No
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Low Voltage - Other (Residential). 1
PERMIT EXPIRES Saturday, January 5, 2013
Permit Issued on Friday, January 6, 2012
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
ON1and the City of Federal Way. (�
Owner or agent: Date: (/S
Fina, ,
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Iection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100063 -00 -EL Address: 138 S 361ST PL
Project: RICHARD J & SUSAN STEPHENS FEDERAL WAY, WA 98003-862'
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.
VBy;inal - Electrical (4055)
Approved —�
Date l /*
r
❑
UFER Ground (4295)
El
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
DRight
Approved
Temporary Power (4275)
Approved
Pool Bonding (4195)
Approved to place concrete
By
Date
By
Date
By
Date
VBy;inal - Electrical (4055)
Approved —�
Date l /*
r
❑
Rough Electrical
Approved
Final Electrical
Approved
DRight
Service (4235)
Temporary Power (4275)
Date
Pool Bonding (4195)
By
Approved
By
Approved
Approved
By
Date
By
Date
By
Date
E]
Cover (4020)
Rough Electrical (4225)Ceiling
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
VBy;inal - Electrical (4055)
Approved —�
Date l /*
r
❑
Rough Electrical
Approved
Final Electrical
Approved
DRight
of Way
Approved
By
Date
By
Date
By
Date