15-106017s `y
A121211can
City of Federal Way
CAROLINE VANDER ARK
Community 8 Econ. Dev. Services
ADT LLC
33325 8th Ave S
ADT LLC
Federal Way, WA 98003
1"ILE
Ph: (253) 835-2607 Fax: (253) 835-2609
11824 NORTH CREEK PKWY SUITE 105
Project Name: VANDER ARK-DAVIS
Project Address: 29853 10TH AVE SW
. I is
Electrical
Permit #: 15 -106017 -00 -EL
Project Description: Replace cell unit on existing intrusion alarm system
Inspection Request Line: (253) 835-3050
Parcel Number: 195460 0116
Owner
A121211can
Contractor
CAROLINE VANDER ARK
JENNIFER COVELLO
ADT LLC
RYAN DAVIS
ADT LLC
ADTLLL*881D0 (3/20/16)
29853 IOTH AVE SW
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98023
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Electrical Work Valuation?...................................200
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is this an Online or O.T.C. application? ................. Yes
PERMIT EXPIRES Sunday, May 29, 2016
Permit Issued on Tuesday, December 1, 2015
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:
\XA N\ 0 oEO
CITY OF
Federal Way
PERMIT #:
Project:
,THIS CARD IS TO AIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -106017 -00 -EL Address: 29853 10TH AVE SW
CAROLINE VANDER ARK FEDERAL WAY, WA 98023-8206
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)
Approved
By Date 11(3
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 11(3
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
Rough Electrical (4225)
Ceiling Cover (4020)
0
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 11(3
Rough Electrical
Approved
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date