13-104075' A -- Electrical
City of Federal WayPermit #: 13 -104075 -00 -EL
FILS,
Community & Econ. alDev.W Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 2
Ph: (253) 835-2607 Fax: (253) 835-2609 {� q (53) 8353050
Project Name: LIPSTON
Project Address: 37007 22ND AVE S Parcel Number: 7212651590
Project Description: INTRUSION ALARM INSTALL
Owner
ROBERT LIPSTON
ARRlican
JENNIFER BURGESS
Contractor
ADT LLC
AMITY LIPSTON
A D T LLC
ADTLLL*881D0 (3/20/14)
37007 22ND AVE S
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98003-7585
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 Saturfa)
Permit Issued on MV)'O' 1 hereby certify that the above information is corre the occupancy and the use will be in accordancel'ON eOwner or anent:
o115rch 15, 2014
ember 16, 2013
ion on the above described property and
regulations of the State of Washington
Date.
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104075 -00 -EL Address: 37007 22ND AVE S
Project: ROBERT LIPSTON FEDERAL WAY, WA 98003-7585
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
r
FILE
❑
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
r
FILE
❑
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
E]
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
r
FILE
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date