12-103823r. a ` •
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: EDWARD JONES
-Electrical
Permit #: 12- 103823 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Address: 1010 S 336TH ST Unit 115 Parcel Number: 9265010010
Project Description: Low voltage wiring for fire alarm modifications.
Owner
A fpg icant
Contractor
OMNI PROPERTIES
MERIDIAN SECURITY & ELECTRIC
MERIDIAN SECURITY & ELECTRIC
909 S 336TH ST SUITE 103
PO BOX 7171
MERIDSE022D5 (3/25/14)
FEDERAL WAY WA 98003
KENT WA 98042
PO BOX 7171
KENT WA 98042
Additional PerrniYlnformation
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, February 13, 2013
Permit Issued on Friday, August 17, 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
d the City of Federal Way.
Owner or agent: Date:
CITY OF }
Federal Way
PERMIT #:
Project:
0 THIS CARD IS TO MAIN ON -SITE
Construction In ection Record r
INSPECTION REQ TS: (253) 835 -3050
12- 103823 -00 -EL Address: 1010 S 336TH ST Unit 115
OMNI PROPERTIES FEDERAL WAY, WA 98003
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.
0
UFER Ground (4295)
0
Ditch cover (4030)
El
Slab /Concrete Floor (4255)
Approved
Right of Way
Approved
Approved
Date
Approved to place concrete
By
Date
By
Date
By
Date
0 Feeders /Sub - panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
DateG? _ z
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date of -1 , l Z
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
0 Feeders /Sub - panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
DateG? _ z
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date of -1 , l Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fedeq4MYED LECTRICAL
AUG 17 2012P'ERMIT APPLICATION
CITY OF � lAyical ermits a taine -lin at .ci e wa . com **
SITE ADDRESS
SUIT /UNIT #
l o l0 S 33 ��r ST
l 15
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARC/EEL #
r
"� 1 O
%� �j
�/ �l+ �/ V T- D D
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING (A FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Named
A a La- "M
PROJECT DESCRIPTION
Detailed description of work to
1 v-, S i`IL. S rnu lCQ S -
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
O MYN,
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
NAME
rv►e+r. �„ SeC�.�� �lec-�v �' C-
?HONE 6 33 ! ?mot Z.
LING ADDRESS
0 '✓a -7171
E -MAIL
SCoifeU►'►ev1`d �.►s
CONTRACTOR
r�
CITY.
%jAa.
wV _ I
ZIP
/ 8 0 �.
y
FAX a
2S `38 to
WA STATE CONTRACTOR'S LICENSE #
Jong.,-,, e 0
EXPIRATION DATE
/ i
FEDERAL WAY BUSINESS LICENSE #
Zo-o(. - (v 0 vo -
NAME
a e-'4- �-S R �✓o U �.
PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME s -ca qa(2/�Lic �-
PHONE
(The individual to receive and
MAILING ADDRESS
�J- GLS li(, ✓� V �.
E -MAIL
respond to all correspondence
concerning this application)
11�—C-
CITY
STATE
2IP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER- FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
IRCW 1927095)
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 mg knowledge, the information submitted in support of this permit application is true and correct. 1 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 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
1
SIGNATURE: DATE r ��
PRINT NAME: i t o rtn- Le
Bulletin #100 - January 1, 2011 Page I of 3 k: \Handouts \Permit Application
uZ