13-103587 «,►of . ...
ELEC'T`RICAL
Federal Way PERMIT APPLICATION
• RECEIVED
PERMIT NUMBER ( 3 o_ i 51--
- - - - AUG 152013
SUITE/UNIT/SPACE#
SITE ADDRESS: moi• C OF FED RAL WAY,
PROJECT VALUATION ASSESSOR'S TAR/PARCEL0 T/PROPOSED USE
PROJECT NAME / -
(Tenant or Homeowner Last Name) 1p _ We--ck QS
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PROJECT DESCRIPTION (e Gt Arr-. 7,:z r.2--I
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME�►,A._ (_o ,-,S ( 3)1c-PHONE
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PRIMARY PHONE
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CONTRACTOR CITY STATE ZIP�� I a FAX
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WAffrirris CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PRIMARY PHONE
APPLICANT NAME r\ ( )S- C3 k
MAILING ADDRESS E-MAIL
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CITY L.3 STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT Me I \ (ate) S-7.--031 I
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 enviro ental laws.
I further ag hold ess the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investig and def of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only w such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied to t city as a part f this application. l
SIGNATURE: -.--e---
%
•-� DATE ,1 ` 1( 3
PRINT NAME: \Gr". LAD`JC_1
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
City 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: LATITUDE CONDOM NIUMS BLDGS
Project Address: 33020 10TH AVE SW
0 " Eltctrical
Permit #: 13 -103587 -00 -EL
Project Description: Install wireless transmitter to existing fire alarm panel
Inspection Request Line: (253) 835-3050
Parcel Number: 420500 0000
Owner
Anglican
Contractor
LATITUDE CONDO ASSOCIATION
FIRE ONE INC
FIRE ONE INC
PO BOX 4508
107 WASHINGTON BLVD
FIREOI*099KW (5/20/15)
FEDERAL WAY WA 98063
ALGONA WA 98001
107 WASHINGTON BLVD
ALGONA WA 98001
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
;Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, February 16, 2014
Permit Issued on Tuesday, August 20, 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
See pp�'ationWay
Owner or agent: Date:
AUG 2 0 RECD
L INALED
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federcil Why INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103587 -00 -EL Address: 33020 10TH AVE SW
Project: LATITUDE CONDO ASSOCIATION 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.
Final - Electrical (4055)
roved
Date U 4
LIFER 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)
roved
Date U 4
Pool Bonding (4195)
0
Temporary Power (4275)
E:]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
roved
Date U 4
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date