13-104080S
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
[1
FILE
0 lklectrical
Permit #: 13 -104080 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CLEMENT 17
Project Address: 33319 23RD AVE SW Parcel Number: 9320901230
Project Description: Installation of a Wireless Home Security System
Owner
ARRIlcan
Contractor
EVETTA CLEMENT
LAVONNE ROBERTS
PROTECT YOUR HOME
33319 23RD AVE SW
PROTECT YOUR HOME
PROTEYH934RS (12/13/13)
FEDERAL WAY WA 98023-2840
3750 S PRIORITY WAY DR
3750 PRIORITY WAY DR S
INDIANAPOLIS IN 46240
INDIANAPOLIS IN 46240
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
,Electrcal Fixtures
Low Voltage - Other (Residential). 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, March 16, 2014
Permit Issued on Tuesday, September 17, 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
and the of. Radival Way. a
Owner or agent:tj fK1 &6
1 Up Date:
l
`
CITY OF
Federal Way
PERMIT #: 13 -104080 -00 -EL
Project: EVETTA CLEMENT
THIS CARD IST MAIN ON-SITE {
Construction In - ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 33319 23RD AVE SW
FEDERAL WAY, WA 98023-2809
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) Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By Date By
Date By Date
Pool Bonding (4195) ❑
Temporary Power (4275)Service (4235)
Approved
Approved Approved
By Date By
Date By Date
Feeders/Sub-panels (4045) E]
Rough Electrical (4225) Ceiling Cover (4020)
Approved
Approved Approved
By Date By
Date By Date
Final - Electrical (4055)
Approved
�2
By V-46 Date 4) 111 ' 13
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date