14-105240= A
If - I 'I
' 0 0 'electrical
City of ay
community & Econ. De" Services Permit #: 14 -105240 -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: PAPA MURPHY'S
Project Address: 31653 PACIFIC HWY S Unit F Parcel Number: 082104 9196
Project Description: Low voltage wiring for fire alarm system.
Owner
Al2RIlcan
Contractor
DONNA DOUGHERTY
DONNA DOUGHERTY
WASHINGTON ALARM INC
PAPA MURPHY'S / DRD INC
PO BOX 959
WASHI4,I282C3 (12/5/15)
P.O. BOX 959
ORTING WA 98360
2030 AIRPORT WAY S
ORTING WA 98360
SEATTLE WA 98134
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, April 7, 2015
Permit Issued on Thursday, October 9, 2014
1 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
and the City of Federal Way.
Owner or agent: "A 4 Date: Lo
f-ItIPAOe"
CITY OF
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
14 -105240 -00 -EL
Address: 31653 PACIFIC HWY S Unit F
Project: DONNA DOUGHERTY 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.
11 Final - Electrical (4055)
Approved
By V-4 Date p (;
❑
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By V-4 Date p (;
❑
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By V-4 Date p (;
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
OCT 0 9 2014
ELEC'T'RICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER
_/_V _ 10 � 0� _V _ o G
SITE ADDRESS: w
2l �_
w
SUITE/UNIT/SPACE#
-2x," Tf-
PROJECT VA��LUU��ATION
AS/S/��/SSO/ S TAX PARCEL S
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Lt>Ld foe -1 -Ax -or—-
PROPERTY OWNER
NAME
PRIMARY PHONE
( )
MALING ODRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
N�
k ek_
PRIMARY PHONE
3Sr/
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 c c im), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim ses t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th cit a part of this application.
SIGNATURE:
PRINT NAME:
TE
Bulletin # 160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application