15-103784 •
• I Elerli:ritil
City of Federal Way
l Community R Econ.Dev.Services Permit #: 15-103784-00-EL
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: CARPET PLUS
Project Address: 34515 16TH AVE S Parcel Number: 889700 0055
Project Description: Install a new fire alarm system in the warehouse only.
Owner Applicant Contractor
KOBETS COMMERCIAL LLC DANIEL CLEP KLEPPS INC
34515 16TH AVE S KLEPPS INC KLEPPI*938C6(2/26/17)
FEDERAL WAY WA 98003 12515 BEL-RED RD SUITE 101 453 155TH PL SE
BELLEVUE WA 98005 BELLEVUE WA 98007
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Tuesday, January 26, 2016
Permit Issued on Thursday, July 30, 2015
I hereby certify that the above infor ation is correct and that the construction on the above described property and
the occupancy and the use will b- n accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: , .• Date: 3 0 ( T
® • THIS CARD IS TO REWN ON-SITE
"TM OF Construction Inspeefion Record
Federal Way INSPECTION REQUESTS: (253)835-3050 •.
PERMIT#: 15-103784-00-EL Address: 34515 16TH AVE S
Project: KOBETS COMMERCIAL LLC FEDERAL WAY, WA 98003-6802
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.
O UFER Ground (4295) GI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) . .El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By (.,,. i Date ...:.Li..,,t, tr ,
❑ Rough ElectricalEl�. Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVEb
CrryJUL •
�� 2°�5 ELECTRICAL
CITY OF of Cog RAL WAY
Federal Way PERMIT APPLICATION
PERMIT NUMBER \ () i Cf - �� V
SITE ADDRESS: /519vseFecierq/ �� gre 005c_
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ x/72, 3 S 00 - DO
PROJECT NAME
(Tenant or Homeowner Last Name)
11451-471112 nein/ fl,-r Q/9rG 1 3 y5Ji Gni fii
PROJECT DESCRIPTION 2 t reivoof—r
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1/ e (206) - 2_2.o
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
C 2 ; lL)/
MAILING ADDRESS j� / E-MAIL
ELECTRICAL 25/� /J /- ,ed // sf�l l 0/ C/OJ�/ ���
CONTRACTOR CITY STATE ZIP FAX
�e/61,4Pt 11ik4- oC�f (43--)223 -y 65-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAM PRIMARY PHONE
APPLICANT ki/e '/ /o (4c)W-/- $7L
MAILING ADDRESSE-MAIL
i2S/S lit'/- 'Sri ®/ ciao/er '1</ /2)eca•�,.
CITY STATE ZIPFAX
Del 1 echir WC+ cr0oo5 (�2>j Z23 - 3/6 S
HONE
PROJECT CONTACT
NAME 4/e/ c/.e, p (y"L� )/0rPRIMARY
� :?-6I - lel/
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out ,f the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a • rt of this applic• on.
SIGNATURE: DATE 30/
PRINT NAME: A74/ e/ e 'fp
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application