13-104306 ' Electral-
k. City of Federal Way Permit #: 13-104306-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax:(253)835-2609 p (253)835-3050
Project Name: ARTHUR J GALLAGHER& COMPANY
Project Address: 505 S 336TH ST Unit 410 Parcel Number: 926480 0270
Project Description: Adding and/or relocating devices to associated tenant improvement work
Owner Applicant Contractor
F S P FEDERAL WAY CORP FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
401 EDGEWATER PL SUITE 200 206 FRONTAGE RD N FIRESWI055LW(6/16/15)
WAKEFIELD MA 01880-6210 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
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-Other(Commercial; 1
PERMIT EXPIRES Wednesday, March 26, 2014
Permit Issued on Friday, September 27, 2013
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 the City of Federal Way.
1%;Owner or agent 9/Z-7/13 Date: I I Z'7 f 13
S
FIIIA! J v
THIS CARD IS TO MAIN ON-SITE f .
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104306-00-EL Address: 505 S 336TH ST Unit 410
Project: F S P FEDERAL WAY CORP FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
ID Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By-3-e- Date(0-- (G_ /:_.
7❑ 'iv I-Electrical(4055)
Approved v
BDat --a
'"1,L
0 Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
R i ELECTRICAL
CITY OF
Federal Way PERMIT APPALIceEknON
I 01- 0 0 (p 00 SEP 272013
PERMIT NUMBER _ _
CITY OF FEDERAL WAY
SUITE/UNIYy9PACE N
SITE ADDRESS: st'.J 0 5 3 -01 c
PROJECT ASSESSOR'S TAX/ # � � A � � �� CURRENT/PROPOSED USE
0 q
PROJECT NAME f �(`� ���/ . -�j'-�Q ��
(Tenant or Homeowner Last Name) �t h l C�1Y1 �A Z\ ' `Y ��C-i� '` 'G 11.-11/ C O
PROJECT DESCRIPTION �� 'e /31-&;41.3 ,JP ST will ID v16(111, 0,44.010,44.01 l c4
Detailed description of work to4.1116-CrAtvt '4 ( C'�1a 1 t7��ej /tnJ.be included on thus permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
( ) -
NAME PRIMARY PHONE
fIvt sys-rs west (as-3 ) &33_ iva
MAILING ADDRESS E-MAIL
ELECTRICAL ZO G Fr ���� kmd Pc"-i)- S+C,C Yh;L 4Prely swe5l
CONTRACTOR CITYSTATE ZIPFAX
196c) C �� q`&o'n (9-3 ) 13,5- D)13
WA STATE ONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIXE5j_I, 4954-Ci.IV 12 3) / 13 11- V- 0000lLI.00 -)3L
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ) _
E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 of this application.
0SIGNATURE: DATE I/21/ 13
PRINT NAME: �/1`I Le
Bulletin ll January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application