16-100789 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-100789-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY CROSSINGS BUILDING G
Project Address: 35105 ENCHANTED PKWY S Parcel Number: 185295 0040
Project Description: Electrical work to replace fire alarm panel.
•
Owner Applicant Contractor
FANA FED WAY CROSSINGS FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
10655 NE 4TH ST SUITE 700 206 FRONTAGE RD N FIRESWI055LW(6/16/17)
BELLEVUE WA 98004 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Electrical Work Valuation? 500 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(Comme 1
PERMIT EXPIRES Friday, February 10, 2017
Permit Issued on Thursday, February 11, 2016
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
and the City of Federal Way.
Owner or agent: Date: L // /ci
,'N
11.4it SI)
' THIS CARD IS TO MAIN ON-SITE MP .
CITY OF - • Construction In ection Record
Federal Way INSPECTION REQUE,TS: (253) 835-3050
PERMIT#: 16-100789-00-EL Address: 35105 ENCHANTED PKWY S
Project: FANA FED WAY CROSSINGS FEDERAL WAY, WA 98003-8379
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding (4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) `El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
`❑ Final-Electrical(4055)
Approved
By s X17 Date 3 I 1 l (b
C
0 Rough Electrical El Final Electrical111 Right of Way
�—J Approved Approved Approved
By Date By Date By Date
I RECEIVED
FEn 12016 •
CITY al ►. CITY OF FEDERAL WAY ELECTRICAL
Federal Way cos PERMIT APPLICATION
PERMIT NUMBER / C;.. _ (
0 0 7 R 9 _ E(----
SUITE/UNIT/SPACE#/ SUITE/UNIT/SPACE#
SITE ADDRESS:
35 tcfi{ E/v N>J7eJ 7RL)y S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) FL-DeiL.q-L. ‘4/4 Y C/ZoSS/...>C. 3Gn G C.
rkcS//r• 14k S r t.o 1(.& D( TL c-res2 S . 2(--PL.tC!---
PROJECT DESCRIPTION C-71( /ST/.r,JC. 6—ST q l'4.1/L---"L w/T/f A/&rLJ
Detailed description of work to SIL !-i(,/7- /W/G/-/T s' 7(26 i//ZL= 4 C4/CN'1 77,44-.t.'t
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER crA/•3pp Fib wpsy C/2oSSm✓G C? ( )
MAILING ADDRESS E-MAIL
/0(oS'r ti� "' ' 5 / $v/r> <-- 71:6
CITY STATE - ZIP FAX
'3L--Lt_c-./vr t,.sA c1460454-4_ ( ) -
NAME PRIMARY PHONE
El 12c- SYST1-3't5 (Jc;z-N-, I,.)L (°X5:311,33 - 19.444
MAILING ADDRESS E-MAIL
ELECTRICAL LAU ctzt3k-vc-pL, - D A Su/re7 -C_
CONTRACTOR CITY STATE' ZIP FAX
'RAcAE-tL 1..3)P\ ¶46c4ti-7 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FI 12.61- \S5SS1.-c.3 CP /Up /I(p _!`Li,- t0 1-c_-et-
NAME PRIMARY PHONE
APPLICANT s NMC= PSS Cs>i•TK..AcC O IL_ ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT it-1icer d 4lL r,4A./ (2S'3)95-/ - (01.605
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 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as a part of this application. /
SIGNATURE: n DATE 2/ VA,
PRINT NAME: A'1/4-7 C-/4ge-�'JIQiI/ /
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application