13-102360 4 w
r` ti
• • ElectriCa
Community of Federal
�oev Services Permit #: 13-102360-00-EL
33325 8th Ave S
Federal Way,axsaoo3 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:: c
(253)835-2609 � Q
Project Name: COMFORT DENTAL
Project Address: 31217 PACIFIC HWY S Parcel Number: 082104 9181
Project Description: Install fire signal expander and notification devices for associated tenant improvement
work
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES SMITH FIRE SYSTEMS INC SMITH FIRE SYSTEMS INC
3650 131ST AVE SE UNIT 205 1106 54TH AVE E SMITHFS136OT(11/2/14)
BELLEVUE,WA 98006-1334 TACOMA WA 98424 1106 54TH AVE E
TACOMA WA 98424
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, November 26, 2013
Permit Issued on Thursday, May 30, 2013
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 2' Date: .c- 30 - (3
F1NALED
THIS CARD IS TO MAIN ON-SITE .
Fnn • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102360-00-EL Address: 31217 PACIFIC HWY S
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY, WA 98003-5427
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.
El UFER Ground (4295) - 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) `
Approved Approved Approved to place concrete
By Date By Date By Date
• . . •
O Pool Bonding(4195) 0 Temporary Power(4275) •El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) GI Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By-\-C S' Dated-1( Z6---/s By Date
0 Final-Electrical(4055)
Approved
B`yy( (> Date C},-G4-(3
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
M
ELECTRICAL
CITY OF
Federal Way PERMIT API:NE:MAMMON
PERMIT NUMBER I 3 - I Z 0 MAY 3 0 2013
0CO
CITY OF FEDERAL WAY
SUITE/UleDEPACE#
SITE ADDRESS: 31217 PACIFIC.14 S,FEDERAL WAY,WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
3626 0 8 2 1 0 4 - 9 1 8 6
PROJECT NAME COMFORT DENTAL FEDERAL WAY
(Tenant or Homeowner Last Name)
THE SCOPE OF THIS PROJECT IS TO INSTALL A FIRE SIGNAL EXPANDER AND
PROJECT DESCRIPTION NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMET.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER PAVILION CENTER ASSOCIATES
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
l )
NAME PRIMARY PHONE
SMITH FIRE SYSTEMS MANAGEMENT ( ) 253-248-2004
MAILING ADDRESS E-MAIL
ELECTRICAL 1106 54TH AVE E SJERKE@SMITHFIRE.COM
CONTRACTOR CITY STATE ZIP FAX
TACOMA WA 98424 ( ) 253-926-0726
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SMITHFS946LO 6 / 20 /14 200610470900BL
NAME PRIMARY PHONE
SMITH FIRE SYSTEMS MANAGEMENT ( ) 253-248-2004
APPLICANT MAILING ADDRESS E-MAIL
1106 54TH AVE E SJERKE@SMITHFIRE.COM
CITY STATE ZIP FAX
TACOMA WA 98424 ( ) 253-926-0726
NAME PRIMARY PHONE
PROJECT CONTACT SCOTT JERKE ( ) 253-248-2004
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 arty claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be ade by any person,including the undersigned,and filed against the city,
but only where such claim arises t of the reliance . the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of this appl' ation.
SIGNATURE: _ DATE 5/23/13
PRINT NAME: S OTT JE'
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application