13-102505I . h
City of Federal Way
Community & Econ. Dev. services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
RRI
Project Name: DOBBINS
Project Address: 29821 12TH AVE SW
Project Description: INTRUSION ALARM INSTALL
. • - Electrical
Permit #: 13 -102505 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0107
Owner
ApRilcan
Contractor
DAVID DOBBINS
JENNIFER BURGESS
ADT LLC
LYNN B DOBBINS
ADT LLC
ADTLLL" 881DO (3/20/14)
29821 12TH 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
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Sunday, June 7, 2015
Permit Issued on Friday, June 7, 2013
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
ONDIME
f ral Way.
Owner or agent Date:
CITY OF
Federal Way
13 -102505 -00 -EL
THIS CARD IS TO MAIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 29821 12TH AVE SW
Project: DAVID DOBBINS FEDERAL WAY, WA 98023-3407
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 IM Date $'f 23 i7
F=A �1 a
UFER Ground (4295)11
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By IM Date $'f 23 i7
F=A �1 a
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)0
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By IM Date $'f 23 i7
F=A �1 a
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date