16-103183City 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: HEMINGWAY
Project Address: 29803 1ST AVE S
Project Description: Security Camera Install
Elecfrilcal
Permit #: 16 -103183 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 513710 0050
Owner
AR lid
Contractor
FRANK C HEMINGWAY
JAMES RUSSELL
PRINCE TELECOM INC
29803 1ST AVE S
PRINCE TELECOM INC
PRINCTI939KW (5/16/17)
FEDERAL WAY WA 98003-3642
13701 E 24T14 ST
13701 E 24TH ST
SUMNER WA 98390
SUMNER WA 98390
Additional Permit Information
Electrical Work Valuation?....................................150.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Low Voltage - Other (Residential). 1 ,a CA
PERMIT EXPIRES §1 r��a y 1,2
Permit Issued on Fr' y y 1, 2016
I hereby certify that the above information is correct and t
the occupancy and the use will be in accordance with lc,
of F
Owner or agent:
•
1W 4111b 9b
VY
�V
7
,9Wthe above described property and
regulations of the State of Washington
Date:
crnr OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE •
Construction Inspection Record
INSPECTION REQUESTS: (253) 835.3050
PERMIT #: 16 -103183 -00 -EL Address: 29803 1ST AVE.S
Project: FRANK C HEMINGWAY FEDERAL WAY, WA 98003-3642
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CAM, 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.
❑
UFER Ground
13
Ditch cover (
Temporary Power (4275)
Slab/Concrete Floor (4255)
13
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
0
Temporary Power (4275)
13
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
13
Final - Electrical (4055)
Approved
By
Date
1:1Approved
Rough Electricalj'"{
0
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date