15-100571c
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: TOMFORDE
Project Address: 27920 21ST AVE S
Project Description: REPLACE LOW VOLTAGE DEVICES
I .
Electrical
Permit #: 15 -100571 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 757562 0630
Owner
C TOMFORDE
ARRIacant
JENNIFER BURGESS
Contractor
A D T LLC
MOLINA P TOMFORDE
A D T LLC
ADTLLL*881DO (3/20/16)
27920 21ST AVE S
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUrM 105
FEDERAL WAY WA
BOTHELL WA 98011
BOTHELL WA 98011
98003
Is this an Online or O.T.C. application?.................Yes
Low Voltage - Burglar Alarm (Res 1
PERMIT
I hereby certify that the above
the occupancy and the use w
•
Owner or agent:
or Institutional?.......................No
4
�ES uesday,' 4, 2015
o uV
#uary 5, 2015
rect andnstruction on the above described property and
ce with tes and regulations of the State of Washington
the CityWay.
Date:
CITY OF VA�
Federal Way
PERMIT #:
,TATS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -100571 -00 -EL Address: 27920 21 ST AVE S
Project: C TOMFORDE FEDERAL WAY, WA 98003-6949
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.
0
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
❑
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
Ceiling Cover (4020)
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date