13-101686 • i Electficai
City of Federal Way
Community&Econ.Dev.Services Permit tf.�/j.j: 13-101686-00-EL
33325 8th Ave S
Federal Way,WA 98003 C
Ph:(253)835-2607 Fax (253)835 2609 s"" t! rInspection Request Line: (253)835-3050
Project Name: PAVILIONS II BLDG A
Project Address: 31811 PACIFIC IIWY S Parcel Number: 082104 9126
Project Description: Install AES radio for fire alarm system
•
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIE WASHINGTON ALARM INC WASHINGTON ALARM INC
PO BOX 2708 2030 AIRPORT WAY S WASHIAI282C3(12/5/13)
PORTLAND OR SEATTLE WA 98134 2030 AIRPORT WAY S
97208 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 that '- construction on the above described property an
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Fed- al Way.
Owner or agent ��� Date: •-(k4'0
7
THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101686-00-EL Address: 31811 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.
0 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) Ei Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By 0 Date El-18" r2
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
a h • • r
CITY OF A. ELECTRICAL
Federal Way PERMIT APPR a 3ON
PERMIT NUMBER ) -• `'_ ` I `( T _ E/O 0 APR 18 2013
CITS TRACE AY
SITE ADDRESS: '3\ a 1L 1 1 i,j L l I(sI W im' C r 4
PROJECT VALUATION vv ASSESSOR'S TAX/PARCC=EL# J CURRENT/ ROPOSED USE
$ 08 aI_ QA_ - e_ ! q_
PROJECT NAME
(Tenant or Homeowner Last Name) pC V\'1 a f� Q A PEI:
�nsk(t AES (i.0
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
1....\
61;6 %?er-lie.5 ( ) -
MAILING ADDRESS P r �- PO 30x 9rAY‘ �MA�
CITY TATE ZIP FAX
( -I cIAcA ()('- 99 90 ( ) -
NAME PRIMARY PHONE
\A.kiShifYfip A Ie rrn SC • (X10 11A -2)556
MAH.IN ADDRESS f C �{ E
ELECTRICAL �� ��� v.!
(c IC.y J1(.l ltklfjin@ �� (�,
CONTRACTOR CITY 1_ ip,AC 4^E ZIP�13 FAX
964kke/ ' 'If' (g)(0) 3 2--7ai
WA STTE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME GM-re. PRIMARY PHONE
APPLICANT �-C JMe. C`S C r ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY ONE- /
I VIS
PROJECT CONTACT 4. n (i O& A
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 city as a part of this application. /
SIGNATURE: ///%% !/Y/ / /" ` �� DATE L[ ' /7. /3
PRINT NAME: f VI G(1'L /,�(j.L
Bulletin#160—January 1,2013 Page 1 of 2 k:'}landouts\Electrical Permit Application