16-102065 A
� • - • Electrical
r City of Federal Way Permit #: ��� ����������
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 p q
Project Name: CAR TOYS
Project Address: 31610 PACIFIC HWY S Parcel Number: 092104 9118
Project Description: Low voltage wiring for fire alarm
Owner Applicant Contractor
RHEKI FEDERAL WAY L L C MATT CARLMAN FIRE SYSTEMS WEST INC(ELECTRICAL)
. 12013 206TH PL SE FIRE SYSTEMS WEST INC FIRESWI055LW(6/16/17)
ISSAQUAH,WA 98027 206 FRONTAGE RD N SUITE C 206 FRONTAGE RD N
PACIFIC WA 98047 PACIFIC WA 98047-1023
Additional Permit Information
.Electrical Work Valuation? 500 Is this an Online or O.T.C.application9 Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Saturday, April 29, 2017
Permit Issued on Friday, April 29, 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 b in accordance with the laws, rules and regulations of the State of Washington
' and the City of Federal Way.
7
Owner or agent: Date:
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CITY OP.. Construction In coon Record '
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16-102065-00-EL Address: 31610 PACIFIC HWY S
Project: RHEKI FEDERAL WAY L L C FEDERAL WAY, WA 98003-5408
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By "f j Date 412,31 (6
n Rough Electrical Final Electrical Right of Way
r Approved Approved Approved
cy Date By Date By Date
0 RECEIVED •
CITY OF ELECTRICAL
Federal Way �p Z016 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER I (p — 1 Q 7 6D�6✓ 5- - �.�'
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SUITE/UNIT/SPACE#
SITE ADDRESS:
PROJECT VALUATION ASSESSOR'S TAX/PARCEL It CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) C N,'i.__
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PROJECT DESCRIPTION 4//"/ '1/TI'- //Z.//Cl--" / ,Z —- ,3e-' '"'1 -/-2,4-A/"(
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /=l-r�e---24(. U/a4-y Le_e_ ( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL 1 (VC, F ZcAvT7t6 27 A/ cv1.7-4--C —
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT g
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.—1::_;//// VO-1
SIGNATURE: ()44.
� DATE -- i
PRINT NAME: ___ 7/4-7r- L e�,Zl011-1--- - --
Bulletin#160-January 1,2013 Page 1 of 2 k:Ulandouts\Electrical Permit Application 7
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