15-106143 0 • Electrical
Ci hof Econ.Federal Dev SWayervices
Permit #: 15-106143-00-EL
Comm 8
33325 8th Ave S
Federal Way WA 98003
1Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
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Project Name: H-TOWN PLAZA
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number: 092104 9302
Project Description: Installing low voltage fire alarm stystem for low voltage fire alarm system,control panel,
manual stations and notification devices.
' Owner Applicant Contractor
YOUNG JAE KIM REID SAARIO BRIMSTONE FIRE SAFETY MANAGEMENT
BROADWAY-32ND STREET REALTY BRIMSTONE FIRE SAFETY MGMT LLC
1610 BOUNDARY BLVD 16914 120TH AVE E BRIMSFS902BL(1/13/16)
AUBURN WA 98087 WOODINVILLE WA 98374 23422 57TH AVE SE
WOODINVILLE WA 98072
Additional Permit Information
Electrical Work Valuation? 2500.00 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
CONDITIONS:
PERMIT EXPIRES Wednesday, June 1, 2016
Permit Issued on Friday, December 4, 2015
I hereby certify that the abovermation is correct and that the construction on the above described property and
the occupancy and the,use will be in accordance ith the laws, rules and regulations of the State of Washington
1 an e City of Federal Way.
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Owner or agent: t � / c�vt j--` Date: / 2 1/ f'>
1F' n\ LED
rr
0 THIS CARD IS TO RE IN ON-SITE
Construction Insn ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 15-106143-00-EL Address: 31515 PETE VON REICHBAUER WA`
Project: YOUNG JAE KIM FEDERAL WAY, WA 98003-5458
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) i1 Temporary Power(4275) ' El Service(4235)
Approved Approved Approved
By Date By Date By Date
'
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) [El Ceiling Cover(4020)
Approved Approved Approved
By Date .` Date \2- e- `s----- By Date
Q Final-Electrical(4055)
Approved
`B - Date 12-9_ (5
Rough Electrical Final Electrical Right of Way
® Approved Approved Approved
[I. 1
By Date By Date By Date
S !
AL. ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION'
0 0
-
RECEIVED
PERMIT NUMBER I c _ t 0 r `
- - DEC 042015
SITE ADDRESS: L' .-• ' ; ,^ S PACE
,or
PROJECT VALUATION ASSESSOR'S 1 TAX/PARCEL/ # CURRENT/PROPOSED USE
•I. ',.rel U ! 0 O - 6) i rye { 0 `4 - I ± i ( ..(_7 ')A-014.•-• 't/.
PROJECT NAME f / --? -
(Tenant or Homeowner Last Name) - "( ,
f/- c: [� /,,a/ ys'i J �- f IC f � �4� r� 5,7s Zt
a„^-C4 A-'' 4'�s-- k6'7 4 , l'- f / / ,,al,i ! •./i� Pt`.3L -'
PROJECT DESCRIPTION � ;��
Detailed description of work to f)141,-&-'7-7-.::-Z-- -- A/.+t-fJ A-1--- ��r; it)5' - A-Z:: Z Fl e"41`I'c;
be included on this permit only �(
NAME • . r PRIMARY PRONE
PROPERTY OWNER ( ' ) - / �J
MAILING ADDRESS _ E-MAIL
t5 ` ,5 t Ag 5t
CITY STATE ZIP FAX
U g" ik ( ) -
NAME 62 S 00 ggr eg 5:4R1-1.1 ('( ) PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL '2-34/ 2--i41)i> .5c. t Fgi C € '. P
1t". ally
13
CONTRACTOR CITY STATE ZIPFAX
`14 OD' i U` 1( ,---1-% (, ) C7BO*?-2-- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE*
r�"r (S r- ,�(��= -� ! / f 3 / 1
APPLICANT NAS- PRIMRONE
-�` ! '' � 11 (7 25 )96,--ARY 5 "'�
MAILING ADDRESS } ( E-MAIL
CITY STATE FAX
,�.t../.{J[� ?V L i tY'�' FAX
1 O 1 Ci-- ( ) - /
NAME '�5 PR>a�ARYPHo>�
PROJECT CONTACT -77--/44,1:211-1.
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jr( t----r-/44,LJ. /-i ( ) cal--- f'. 3'`?
I certify under penalty of perjury that I am the property owner or authorised 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: `- - - ._'/law - rDATE 10/11(
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PRINT NAME: /114 -- M-los" .
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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