15-100398R
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrricaf
Permit #: 15 -100398 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: BENTLEY
Project Address: 30326 10TH AVE S
Project Description: INSTALL LOW VOLTAGE SECURITY SYSTEM
Parcel Number: 515370 0150
Owner
Contractor
BRIAN BENTLEY
JENNIFER BURGESS
ADT LLC
30326 10TH AVE S
A D T LLC
ADTLLL'881DO (3/20/16)
FEDERAL WAY WA 98003
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
Electrical F
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIF
Permit Issued on e
I hereby certify that the above information is
the occupancy and the use will be in accore
Owner or agent:
d th
the
: of
2015
2015
on the above described property and
lulations of the State of Washington
Date:
CITY of
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -100398 -00 -EL Address: 30326 10TH AVE S
BRIAN BENTLEY FEDERAL WAY, WA 98003-4104
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
❑ Rough Electrical EFinal Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
❑ Rough Electrical EFinal Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
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
❑ Rough Electrical EFinal Electrical Right of Way
Approved Approved Approved
By Date By Date By Date