12-105215Project Name: VANDERARK
Project Address: 616 SW 293RD ST
Project Description: INTRUSION ALARM INSTALL
0 -Electrical
Permit #: 12 -105215 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0485
Owner
ARRlican
City of Federal Way
THOMAS J VANDERARK
Community &Ern. ev. Services
ADT LLC
33325 8th Ave S
ADT LLC
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax: (253) 835-2609
11824 NORTH CREEK PKWY N SUITE 105
Project Name: VANDERARK
Project Address: 616 SW 293RD ST
Project Description: INTRUSION ALARM INSTALL
0 -Electrical
Permit #: 12 -105215 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0485
Owner
ARRlican
Contractor
THOMAS J VANDERARK
JENNIFER BURGESS
ADT LLC
KAREN F VANDERARK
ADT LLC
ADTLLL*881DO (3/20/14)
616 SW 293RD ST
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY N SUITE 105
FEDERAL WAY WA 98023-3538
BOTHELL WA 98011
BOTHELL WA 98011
PERMIT EXPIRES Saturday, November 15, 2014
Permit Issued on Thursday, November 15, 2012
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
n1q,e of IOwner or agent:Date:
I 1 11 q /1&
CITY OF
Federal Way
PERMIT #:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -105215 -00 -EL
Address: 616 SW 293RD ST
Project: 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.
Final - Electrical (4055)
Approved
By Date
SITE
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
Final - Electrical (4055)
Approved
By Date
SITE
Pool Bonding (4195)
E]
Temporary Power (4275)
E]
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
SITE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date