14-103088City 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: VANDERARK
Project Address: 616 SW 293RD ST
Project Description: CCTV INSTALLATION
Electrical
Permit #: 14 -103088 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0485
Owne
THOMAS J VANDERARK
ARRIlicant
JENNIFER BURGESS
Contractor
A D T LLC
KAREN F VANDERARK
ADT LLC
ADTLLL•881DO (3/20/16)
616 SW 293RD ST
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA 98023-3538
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Infonmation
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Tuesday, December 23, 2014
Permit Issued on Thursday, June 26, 2014
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
ONEM
eral Way.
Owner or agent: Date:
FINALED
CITY OF
Federal Way
PERMIT #:
Project:
THIS CS.RD ISTO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -103088 -00 -EL Address: 616 SW 293RD ST
THOMAS J VANDERARK FEDERAL WAY, WA 98023-3538
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.
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By x/1(1 Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
❑
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
Right of Way
Approved
Approved
Date
Approved to place concrete
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By x/1(1 Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
❑
Pool Bonding (4195)
❑Final
Temporary Power (4275)
❑
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By x/1(1 Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
❑
Rough Electrical
Approved
❑Final
Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date