15-101352 • bectrical
City of Community&Econ.Dev.Services Permit #: 15-101352-00-EL
33325 8th Ave S
Federal way,WA 96003 InspectionRequestLine:
Ph:(253)835-2607 Fax (253)835-2609 (253)835-3050
r
Project Name: 7-11
Project Address: 33915 1ST WAY S Unit 205 Parcel Number. 926504 0150 •
Project Description: Fire alarm system for associated tenant improvement
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
5910 MINERAL POINT RD 206 FRONTAGE RD N FIRESWI055LW(6/16/15)
MADISON WI 53701 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
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, September 15, 2015
Permit Issued on Thursday, March 19, 2015
I hereby certify that the above inf'ation is correct and that the construction on the above described property and
the occupancy and the u will .- n accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent - Date: //14(//S—
_ L Ep
THIS CARD IS TO ON-SITE
CITY OF 41.1.PW Construction Ins ection Record ---- .
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-101352-00-EL Address: 33915 1ST WAY S Unit 205
Project: CUNA MUTUAL INVESTMENT COF 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.
ID UFER Ground (4295) -❑ Ditch cover(4030) ElSlab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . . . .
0 Pool Bonding(4195) 0 Temporary Power(4275) .0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date B Date • -•/)----/Final-Electrical(4055)
Approved /
Byi _..„7
Date l ji/17
2
❑ Rough Electrical Final ElectricalID Right of Way
Approved Approved Approved
By Date By Date By Date
emm •
2015 ELECTRICAL
CITY OF MAR 19
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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CDS
PERMIT NUMBER /5 _ / D J 5���/// ��1 _ (!
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SUITE/UNIT/SPACE#
SITE ADDRESS:_.4 �.p 5�T
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PROJECT VALUATION ASS SSOR'S TAX/PARCEL S �� CURRENT/PROPOSED USE
$ / A Go_ o_ y _ (� S 0
PROJECT NAME
(Tenant or Homeowner Last Name) /Wee- L✓Cc>p 5 7-_- Z91
/,'C/S77 [, ic�lnv,, ) Zh V2 S
PROJECT DESCRIPTION GI
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER , (/a v f) ( ) -
MAILING ADDRESS E-MAIL
-CO -ft
CITY STATE ZIP FAX
P( tet' (-714y
NAME PRIMARY PHONE
fZ 5 �'f31 /�c ( 7 ) t7 - �zv<(
MAILING ADDRESS E-MAIL
ELECTRICAL ? 1% 6c Ri) �r9TE-L
CONTRACTOR CITY STATE ZIP FAX
j?/kin<
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
P/(G 5'1 0 s-scz,/ 7co s- '-<s7- 4 / -i
NAME PRIMARY PHONE
APPLICANT /de— SYS 1 of-i5 CJ (153) V3 -/e6',
MAILING ADDRESS / E-MAIL
2c ( J 1�4C•>� 2f) ti/ .S/i - -G / ire i 74 sA77/1i
CI STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT /�t� (3C- /kY (z35 ) may/-
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 o reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the et__ ' a p• of his application.
SIGNATURE: DATE ��
PRINT NAME: C"1 /
Bulletin#l60—January 1,2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application