15-100373Electrical
City of Federal Way .�
Community & Econ. Dev. Services Permit #: 15 -100373 -00 -EL
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: SIMON
Project Address: 32633 11TH AVE SW Parcel Number: 926494 0920
Project Description: replace existing intrusion alarm
Owner
Applican
Contractor
AGNES A SIMON
JENNIFER BURGESS
ADT LLC
32633 11TH AVE SW
ADT LLC
ADTLLL*881DO (3/20/16)
FEDERAL WAY, WA 98023
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Saturday, July 25, 2015
Permit Issued on Monday, January 26, 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:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
15 -100373 -00 -EL Address: 32633 11 TH AVE SW
AGNES A SIMON FEDERAL WAY, WA 98023-4926
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.
❑
UFER Ground (4295)
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)Ceiling
Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date _ �'* 1S
❑ Rough Electrical ❑Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date