13-103890Erectrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 13 -103890 -00 -EL
33325 8th Ave S rILE
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 s
Project Name: TWIN LAKES CHEVRON
Project Address: 4612 SW 320TH ST Parcel Number: 112103 9101
Project Description: Replacing control panel and adding devices to existing intrusion alarm
Oji
AD12lican
Contractor
CMBA NO 3 LLC
JENNIFER BURGESS
ADT LLC
13219 NE 10TH PL
A D T LLC
ADTLLL'881DO (3/20/14)
BELLEVUE WA 98005-2726
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
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, March 3, 2014
Permit Issued on Wednesday, September 4, 2013
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
and the City of Federal Way.
Owner or agent: OM Alm Date:
FIN119-,17D
CITY 0; V Ag�
Federal Way
PERMIT #:
13 -103890 -00 -EL
THIS CARD IST MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 4612 SW 320TH ST
Project: CMBA NO 3 LLC FEDERAL WAY, WA 98023
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.
❑ 711- Electrical (4055)
Approved
UFER Ground (4295)Ditch
cover (4 30)
Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ 711- Electrical (4055)
Approved
Pool Bonding (4195)Temporary
Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ 711- Electrical (4055)
Approved
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date