13-101689 .t • ! Electrical
City of FederalWay Permit #: 13-101689-00-EL
Community Econ.& Dev.Services
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PAVILIONS II BLDG F
Project Address: 31827 PACIFIC HWY S Parcel Number 082104 9126
Project Description: Install AES radio for fire alarm system
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC WASHINGTON ALARM INC WASHINGTON ALARM INC
1121 SW SALMON ST 2030 AIRPORT WAY S WASHIAI282C3(12/5/13)
PORTLAND OR 97205 SEATTLE WA 98134 2030 AIRPORT WAY S
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 Monday, October 14, 2013
Permit Issued on Thursday,April 18, 2013
I hereby certify that the above information is correct and + at the construction on the above described propertyd
the occupancy and the use will be in accordance with - laws, rules and regulations of the State of Washington
/ and the Ci of Federal Way. h e-'
Owner or ageot� . Da -ge-T-- )t
.1
14,1
• THIS CARD IS TO MAIN ON-SITE ,4
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101689-00-EL Address: 31827 PACIFIC HWY S
Project: HARSCH INVESTMENT PROPERTI FEDERAL WAY, WA 98003-5409
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.
O UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . .
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
,
By . A Date 1— %at—I-3
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CYTY OF ELECTRICAL
Federal Way PERMIT APPBN
PERMIT NUMBER 1 / _ 0 ( 9 _ 00 APR 17 2013
I ETFAQRAL WAY
SITE ADDRESS: \( 17 ('ti G t4s\c St 51e c\cgs
PROJECT VALUA�ON ASOR'S TAX/PAR # � � - � � � � CURRENT/))¢¢¢ROPOSED USE
CO Sr9
PROJECT NAME �""�
(Tenant or Homeowner Last Name) CAA)I I t ON`$ B lett .:.
-�Sklt F) 5 I"7
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
-
PROPERTY OWNER \ C.ccrk ?rope,ck e9 ( )
MAILING ADDRESS E-MAIL
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CITY STATE ZIFAX 9Kir\e gel WA q`7 20� ( ) - ,
NAME PRIMARY PHONE
14'n4 l� &c �l�- ( 2Co) 6- �x�' r
MAILING��°°DRRESSS�S E-MAIL
ELECTRICAL �lJ xJ Al�C�C� 1/�1C�I J t Yhi1'�U�,0,171(41141t40fitjliThicE1hCONTRACTOR CITY ` STA E ZIP
z V[ Ci3�( Ott)� - 9a1L-{
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
V1PtMzlia.C3 lros " C) OO- 10113%4)0'31,
NAME PRIMARY PHONE
uf\er'K mq t" 4fhAk,s\laistahCCM (Nt) - ONa c5
APPLICANT
MAILING ADDRESS \,��t C,\ �/ � ,'4 �E�-,M�yAIL (`L� •
`� AX�`�'T V I ��RIIL Y'W l�l'lVW r'� J � ��-.7
CITY/�. �� TiWli► E Z 4 PP/�1 ( o t)6),�AX ii
PROJECT CONTACT N E'INA„_ `K W1 Ca----
—(the 1^ V (29)
37- lL(
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.
1 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 city as a part oofJf this application.
SIGNATURE: ' `'%. ' /� 7& DATE If(7-dot I
PRINT NAME: Y" IVP K. tV C( ( (-•
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application