16-100118 City of Federal Way
40,
It Electrical
Community&Econ.Dev.Services FILEPermit #: 16-100118-00-EL
• 33325 8th Ave S
Federal Way,WA 98003 Request Inspection Re t Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)8 35-3050
I
Project Name: GOODWILL
Project Address: 32521 PACIFIC HWY S Parcel Number: 172104 9083
Project Description: Disconnect& reconnect fire alarm notification device.
OwnerApplicant Contractor
TACOMA GOODWILL INDUSTRIES SMITH FIRE SYSTEMS INC SMITH FIRE SYSTEMS INC
714 S 27TH ST 1106 54TH AVE E SMITHFS136OT(11/2/16)
TACOMA,WA 98409-8130 TACOMA WA 98424 1106 54TH AVE E
TACOMA WA 98424
Additional Permit Information
Electrical Work Valuation? 473 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( I
PERMIT EXPIRES Saturday, July 9, 2016
Permit Issued on Monday, January 11, 2016
I hereby certify that the above information co ect and t e construction on the above described property and
the occupancy and the use will be in - ord. ce wit e la s, rules and regulations of the State of Washington
nd the - ity of ederal Way.
Owner or agent: Date: ii
4%4411&. -
THIS CARD IS TO RE N ON-SITE , _ . `
CITY OF .` •� *
Construction Inspion Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-100118-00-EL Address: 32521 PACIFIC HWY S
Project: TACOMA GOODWILL INDUSTRIES FEDERAL WAY, WA 98003-8501
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
�El Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
• s
O Final-Electrical(4055)
Approved
By r�,�__ Date \ -. -\S
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
*RECEIVED •
JAN 112016 ELECTRICAL
CITY OF s
Federal Way CrIY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER ///�_ / D O / _
VVV/// SUITE/UNIT/SPACE#
SITE ADDRESS: 32427 PACIFIC HWY S.,FEDERAL WAY,WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
473 1 7 2 1 0 4 — 9 0 8 3
PROJECT NAME
(Tenant or Homeowner Last Name) GOODWILL
THE SCOPE OF THIS PROJECT IS TO DISCONNECT A NOTIFICATION DEVICE
PROJECT DESCRIPTION AND TO REATTACH THE SAME NOTIFICATION DEVICE.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER TACOMA GOODWILL INDUSTRIES ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
SMITH FIRE SYSTEMS INC. ( 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#
SMITHFS861RS 12 / 10 / 16 198700005500BL
NAME PRIMARY PHONE
APPLICANT SMITH FIRE SYSTEMS INC. ( 253 ) 248- 2004
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 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 ance of the city, in,' ding its officers and employees, upon the accuracy of the
information supplied to the city as a part o s application. ///
SIGNATURE: i DATE 1/11/16
PRINT NAME: SCOT JERKE
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application