12-104009Y M T r Electrical
City of Federal ay
Community & Econ. Dev. Services Permit #: 12 -104009 -00 -EL
3332 8th Ave S FILE
Federal Way, ax: 98003 Inspection Request Line: 2
Ph: (253) 835-2607 Fax: (253) 835-2609 p q (53) 835-3050
Project Name: GARDNER
Project Address: 30052 6TH AVE SW Parcel Number: 039600 0160
Project Description: ADDING GLASSBREAKER AND POSSIBLY ADDING SOME SENSORS
Owner
A 11 n
Contractor
LEON R GARDNER
ADT LLC
ADT LLC
WENDY S GARDNER
11824 NORTH CREEK PKWY SUITE 105
ADTLLL*881DO (3/20/14)
30052 6TH AVE SW
BOTHELL WA 98011
11824 NORTHCREEK PKWY N SUITE 105
FEDERAL WAY WA 98023-3520
BOTHELL WA 98011
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Friday, August 29, 2014
Permit Issued on Wednesday, August 29, 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
and the City of Federal Way.
12,1
Owner or agent: Date:
FINALED
h�
CITY OF ,
Federal Way
PERMIT #:
Project:
1 THIS. CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104009 -00 -EL Address: 30052 6TH AVE SW
LEON R GARDNER FEDERAL WAY, WA 98023-3520
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.
Final - Electrical (4055)
__�App�oved
By / Date
SITE
LIFER Ground (4295)
Ditch cover (4030)
Power (4275)
Slab/Concrete Floor (4255)
1:1Service
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
__�App�oved
By / Date
SITE
Pool Bonding (4195)
E]Temporary
Power (4275)
1:1Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By '
Date
Final - Electrical (4055)
__�App�oved
By / Date
SITE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date