14-106376 • Electrical
City of Federal Way Permit #: 14 106376 00 EL
Community&&Econ.Dev.Services
33325 8th Ave S
Federal Way,ax 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax::(253)835-2609 p q
Project Name: DUMAS BAY CONFERENCE CENTRE
Project Address: 3200 SW DASH POINT RD Parcel Number: 122103 9146
Project Description: Replace fire alarm panel and add devices
Owner Applicant Contractor
CITY OF FEDERAL WAY LESLEY BECKLEY PACIFIC FIRE&SECURITY INC
33325 8TH AVE S PACIFIC FIRE&SECURITY INC PACIFFS914MF(7/1/15)
FEDERAL WAY WA 98003 828 POPLAR PL S 828 POPLAR PL S
SEATTLE WA 98144 SEATTLE WA 98144
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 Saturday, June 13, 2015
Permit Issued on Monday, December 15, 2014
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
fel► and the City of Federal Way.
Owner or agent /110 Date/ Z/S /r
F
WALED
• THIS CARD IS TO' MAIN ON-SITE ,,_
CITY OF Construction In ection Record c
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-106376-00-EL Address: 3200 SW DASH POINT RD
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98023-2340
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) - El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) • EI Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
I
S Date ,_ 7,..9._ 15-
i
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
0 • ,r.
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CITY OF .. ELECTRI 046
Federal Way PERMIT APPLICATION
r - / , DEC 152014
I
PERMIT NUMBER (4 _ C) l� 3 Y,'_ 0 0 CITY OF FEDERAL WAY
CDS
SUITE/UNIT/SPACE#
SITE ADDRESS:`31-C O .S(A/ f}5/-{ /)0/4-j- ,41
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
/0,000 ,°a / Z ? i 0 3 - 9 ( L eikJ4GAi
PROJECT NAME 1/
(Tenant or Homeowner Last Name) ) (f/Y)AS aff7 Cg-✓IT JL t.:
SPCA LE T-(4-6. F i (LE A-LV4 g2r- pft/l 6 L A-4 0 *)O
PROJECT DESCRIPTION _
Detailed description of work to 10 6 v (G E3 �e 2 /C-I4, 'T') 77-1-6 SYI T e A"`
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C f- y 0 f i Dt-I2AL („..A`(' Rs-3)63S- z-00Q
MAILING ADDRESS E-MAIL
32-C.)1/ St./ DAR-f P0/4T 21). 2-ob. (77i4/g-2 Q C,T-' o rr'
CITY STATE ZIP FAX f ear RA L("411,
fe0624L- -"- l.voi- noz3 ( 257) p31- zoro 0,--.
NAME PRIMARY PHONE
1‘21.9t:I=l r=(ee t SFc-f2( 7,--( vv,)'57- a?o7
MAILING ADDRESS n E-MAIL
ELECTRICAL T Pa PLA iL 1�L- S. '&C2r✓ PA- (g i c c-1,2_‘--
CONTRACTOR CITY STATE ZIP FAX Sett//2 R
5- .jt rt�� lA `l?( Y`f (VG )12(a - it fo0 c0�
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
ZACI r ' / ( /i5 zoo6/03 8(00--00-- Q1-
AME PRIMARY PHONE
APPLICANT 5 Fr S e-LE-c.--r: Coil T'e_ cC rO ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT R-043 e 2i %/A u bp(r t )39( - ((SY 3
I certify under penalty of perjury that I ant 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 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 a part of this application.
SIGNATURE: ./ /G-3 DATE/2 4--- y
PRINT NAME: ►/ V i./_ .
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application