13-101781E �
City of Federal Way
Community & EcDn. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
FILE
Electrical
Permit #: 13 -101781 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: INGPAM
Project Address: 29105 20TH AVE S
Project Description: Intrusion install (re -installation of keypad and sensors)
Parcel Number: 422280 0160
Owner
INA E INGRAM
ARnlicant
JENNIFER BURGESS
Contractor
ADT LLC
29105 20TH AVE S
A D T LLC
ADTLLL*881DO (3/20/14)
FEDERAL WAY WA 98003
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
PERMIT EXPIRES TI
Permit Issued on Tu
I hereby certify that the above information is correct and
the occupancy and the use will be in accordance with&V
Owner or agent:
\j
Is Use
1
or 71nsti..............I.......No
23,
ion on the above described properly and
regulations of the State of Washington
Date:
MY of
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -101781 -00 -EL Address: 29105 20TH AVE S
Project: INA E INGRAM FEDERAL WAY, WA 98003-3836
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.
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 0 Approved
By Date By Date By Date
UFER Ground (4295)Ditch
cover (40 0)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
(4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 0 Approved
By Date By Date By Date
Pool Bonding (4195)
El
Temporary Power (4275)Service
(4235)
Approved
Approved
Approved
By
Date
By
Date
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
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 0 Approved
By Date By Date By Date