12-102256City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
,Electrical
Permit #: 12 -102256 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: KOUBELLE ayttg
Project Address: 33105 10TH PL SW Parcel Number: 926495 0380
Project Description: INTRUSION ALARM INSTALL
Owner
AR12lican
Contractor
TERRY D KOUBELLE
ADT SECURITY SERVICES
A D T SECURITY SERVICES INC
JEANETTE K KOUBELLE
NORTHWEST PERMIT INC
ADTSES103205 (9/25/13)
33105 10TH PL SW
11824 N CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY N SUITE 105
FEDERAL WAY WA 98023-5204
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Thursday, May 22, 2014
Permit Issued on Tuesday, May 22, 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
L:
Federal Way.
Owner or agent: ON Date:
` THIS CARD IS TO EMAIN ON-SITE
0 Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -102256 -00 -EL Address: 33105 10TH PL SW
Project: TERRY D KOUBELLE FEDERAL WAY, WA 98023-5204
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.
F'nal - Electrical (4055)
Approved
By Dat J
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
F'nal - Electrical (4055)
Approved
By Dat J
Pool Bonding (4195)
FILEi
Temporary Power (4275)
Service (4235)
Approved
Right of Way
Approved
Approved
Date
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
E:]
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
F'nal - Electrical (4055)
Approved
By Dat J
FILEi
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date