13-102186e �
Electrical
Commu y & Eon' DWSPermit #: 13 -102186 -00 -EL
33325 8th Ave S FILE
Federal way' WA 98003 Inspection Request Line:
Ph: (253) 835-2607 Faxns. (253) 835-2609 I eQ ues(253) 835-3050
Project Name: FREEDOM MEDICAL
Project Address: 34310 91M AVE S Suite 108 Parcel Number. 926480 0083
Project Description: Install low voltage security
Owner
A ulicant
Contractor
HARSCH INVEST PROPERTIE LLC
JENNIFER BURGESS
ADT LLC
PO BOX 2708
ADT LLC
ADTLLL*881DO (3/20/14)
PORTLAND OR 97208
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 Is Use Educational or Institutional? ..........
.............No
Service greater than 999 Amps? .............................No Ak /
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1 1
PERMIT EXPIRES Sunday, ay 1
Permit Issued on Friday, M
I hereby certify that the above information is correct and he
the occupancy and the use will be in accord nce wi lawy,
an tTie of F er
Owner or agent
5
above described properly and
s of the State of Washington
Date:
crrr or
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -102186 -00 -EL Address: 34310 9TH AVE S Suite 108
Project: HARSCH INVEST PROPERTIE LLC FEDERAL WAY, WA 98003
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
1:1Approved
LIFER Ground (4295)Ditch
cover (4030)
0 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)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date