16-101761Eleetgical
City of Federal way Permit #: 16-101761-00-E L
Community &Econ. ev. Services FILE
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p a
Project Name: JORGESON
Project Address: 3522 SW 327TH ST
Project Description: Install low voltage intrusion alarm
Parcel Number: 873195 0810
Owner
ARRlicant
Contractor
LYNN PATRICIA JORGESON
JENNIFER COVELLO
A D T LLC (ELECTRICAL 06)
3522 S 327TH ST
A D T LLC
ADTLLL*881DO (3/20/18)
FEDERAL WAY WA 98023-2626
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Electrical Work Valuation?....................................99
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is this an Online or O.T.C. application? ................. es
PERMIT EXPIRES Wednesday, April 12, 2017
Permit Issued on Tuesday, April 12, 2016
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 City of F eral Way.
Owner or agent: Date:
CITY Of '41i;&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -101761 -00 -EL Address: 3522 SW 327TH ST
LYNN PATRICIA JORGESON FEDERAL WAY, WA 98023-2626
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)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E:]
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
0
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
j Date 4
ys (b
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date