14-103599 P.
Electrical
City&EcoFederal Way Permit #: 14-103599-00-EL
Community&Econ.Dev.Services
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
p q
Project Name: WASHINGTON EDUCATION ASSOCIATION
Project Address: 32032 WEYERHAEUSER WAY S Parcel Number: 152104 9005
Project Description: Low-voltage wiring for fire alarm panel replacement,
Owner Applicant Contractor
WASHINGTON EDUCATION CONVERGINT TECHNOLOGIES CONVERGINT TECHNOLOGIES
ASSOCIATION (ELECTRICAL) (ELECTRICAL)
PO BOX 9100 450 SHATTUCK AVE S SUITE 100 CONVETL984BQ(1/18/16)
FEDERAL WAY WA 98063 RENTON WA 98055 450 SHATTUCK AVE S SUITE 100
RENTON WA 98055
•
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 Wednesday, January 14, 2015
Permit Issued on Friday, July 18, 2014
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 a ity of Federal Way.
Owner or agent: ati • Date: 07- 1 8• Zo /
FJNALED
, ':—.41&* THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction Inflection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103599-00-EL Address: 32032 WEYERHAEUSER WAY S
Project: WASHINGTON EDUCATION ASSOI FEDERAL WAY, WA 98023
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
El Final-Electrical(4055)
Approved
,, .._..........\..c..--<____ Date ��
•
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF AL ELECTRICAL
Federal Way JUL 1 S 2014PERMIT APPLICATION
CITY OF FEDERALcWAY
PERMIT NUMBER / _ /CITY
0 3 g) / - E f
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 ZZ) 3 2_ (.), £yee,/./,5 & 4_9r S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /Z z 1 g . Go /5-Z/6q �'r CDo _
— —
PROJECT NAME 'CO— — — —
(Tenant or Homeowner Last Name) O i4-WAY-0 i\ / DVC- T-.CoA 4 s S o c
PROJECT DESCRIPTION J G/� � � ,41- ..-,1-2,14--7 i� N
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER w Yr EI vU-1T. O 4� . oC ' ( ZsA 7V-I (.0 707)
MAILING ADDRESS E-MAIL
CITY STATE ZIP
FAX
..._ .. _. .... _ ... ( )
NAME
PRIMARY PHONE
N O O
�n,vV ‘���— I/ %sr.5 ( q261 272. -2_2-50
MAILING ADDRESS E-MAIL
ELECTRICAL 4D SA-I/47rUUL /-tJ'2 S . --45,—
CONTRACTOR CITY STATE ZIP
fQ E,.f T—v,� c,J t�- oSa FAX
( ) -
WA STATE
C,ONT�RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
( CoN U�z:TL 2gq tilt/ /
.. _ NAME - _ �.._ _ _- - -PRIMARY PHONE
APPLICANT ��IZL(C VIA - 5 L L o A-1.--v ( Lf Z. 76.6, S q(:),
MAILING ADDDRESS�/ [� .
13(DU SIL �7L' Si-- 4 I/L,1�51e.01-tMtb O
C 40r4/-�' 4 j �, STATE ZIP FAX
.;,=.< <a_i�'e /�efti/ W Kr ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 45,<L4 ---er,0 Fp u GST-Le,,‘)11- ( ) SAA-
-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.
i(),e,uai(-#14 , Of2,0_,CXN______________,
SIGNATURE: `� DATE 1J 7- /S-ZG I Y
)
PRINT NAME: c /<' 4,7 ' 6514 L-o i'l�
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application