12-104687 • 0Electrical
Community&Econ.Feder
alD w y
Services Permit #: 12-104687-00-EL
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: FARMERS INSURA'CEih skiamti i
Project Address: 33650 6TH AVE S Unit 110 Parcel Number: 926480 0210
Project Description: Low-voltage wiring for fire alarm system.
•
Owner Applicant Contractor
SUNLIFE ASSURANCE CO CANADA STANLEY CONVERGENT SECURITY STANLEY CONVERGENT SECURITY
600 UNIVERSITY ST SUITE 503 SOLUTIONS INC SOLUTIONS INC
SEATTLE WA 98101 2700 RICHARDS RD SUITE 202 STANLCS925MZ(7/9/14)
BELLEVUE WA 98005 2700 RICHARDS RD SUITE 202
BELLEVUE WA 98005
Additional Permit Information •
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( I
PERMIT EXPIRES Tuesday, April 9, 2013
Permit Issued on Thursday, October 11, 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
and)
- •-the City of Federal Way.
Owner or agent: /.►I/ // yr1 , i Date: / P/////2/'
r ': : z Iq latw
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record -- ` .
Federal Way , INSPECTION REQUE TS: (253)835-3050 `
PERMIT#: 12-104687-00-EL Address: 33650 6TH AVE S Unit 110
Project: SUNLIFE ASSURANCE CO CANAD 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.
UFER Ground (4295) ElDitch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ' ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ElRough Electrical(4225) 'El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date Byy3c S Date 10-26---- /Z f❑ -Electrical(4055)
Approve
:::2—I/
By Date ( —, 2—______
0 Rough Electrical ElFinal Electrical 1:1Right of Way
Approved Approved Approved
By Date By Date By Date
. •
CITY' ' ' 'OF
—/21 6.. E 1
Fed iVay ELECTRICAL
G. Nt PERMIT APPLICATION
seRrMost electrical permits may be obtained on-line at www cityoffederalway.com**
' a6 ° '
SITE ADDRESS: 5.1,5b_. Lei*Ale. 6,1,1„1/04 r--„,imi
1'�f ��
SUITE/UNIT/SPACE# ASSESSOR'S TA%/PARCEL# 1 1 w7 ) CURRENT/PROPOSED USE
1 C14
rr ;
1
PROJECT NAME �,,,/��
(Tenant or Homeowner Last Name) 1 aYr1 G4'S v ,(,
eukep oraht (loin W) ) -j—o eAci,shilc -etre, atififti
PROJECT DESCRIPTION GI'C,,vvl
Detailed description of work to tJ�'(``��''�'�y
be included on this permit only
NAME � •
PRIMARY PHONE ONE
PROPERTY OWNER 61y1 Ini & Uv4 0 6. C )
MAILING ADDRE G • E-MAIL(vDD /rifevgv
3ui14- dtei2;
.. .w.. CITY 5Wile, ST 4 e/D/ l ) FAX
-
N '' (�jjy Y PHONE
i P�,YGbD
MAILING ADD c - E-
ELECTRICAL �� ' •thetvdAd'ZW
CONTRACTOR c STATE
WA TATE CONTRACTOR' LICENSE
# EXPIRATION DATE FEDERAL WAY SINESS LIC SE#
i[.. _ �r . 0 _ ►° //4 2D P, - I , , 'pa:
APPLICANT N Oi=JG� 1/146
�57Y PHIED
DD
TIODO .
/� G�z ;o v
CII��^�'IIVvV'e^` FAX
SW i J ttoo 4x)05•7 6b8t/
PRIMARY PHONE
PROJECT CONTACT
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 c arises out of the reliance of the city, including its ofcers and employees, upon the accuracy of the
information supplied o th.city as a part of s application.
SIGNATURE: •&.–.i /.PreI /.Al/. I DATE /o/,i/, ._.—
PRINTNAME:
A1 „0l Tial.,.M ,.
33325 8th Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160–January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application