14-104457I
City of federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HALEY
FILE
r
Electrical
Permit #: 14 -104457 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 3617 SW 328TH ST Parcel Number: 873195 0330
Project Description: add device to existing low voltage security system
Owner
GEORGE HALEY
A nl� icant
JENNIFER BURGESS
Contractor
ADT LLC
ANA M HALEY
ADT LLC
ADTLLL*881D0 (3/20/16)
3617 SW 328TH ST
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY.gRTE 105
FEDERAL WAY WA 98003
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 Sunday, JIMLtor
M
Permit Issued on Tuesday, Septr 21
I hereby certify that the above information is correct and tha� c#ion on the above described property and
the occupancy and the use will be in accordance with the law les -aid regulations of the State of Washington
and the City of Fe al,'Wiiy.
Owner or agent: Date:
ON
s
•c
C,r CW i
Federal Way
PERMIT #:
'THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 835-3050
14 -104457 -00 -EL Address: 3617 SW 328TH ST
Project: GEORGE HALEY FEDERAL WAY, WA 98023-2658
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
FILE
LIFER Ground (4295)
❑
Ditch cover (4030)
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
FILE
Pool Bonding (4195)Temporary
Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
FILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date