16-100788 n �
Electrical
City of Federal Way Permit #: 16-100788-00-EL
Community 8,Econ.
D
ev.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: FEDERAL WAY CROSSINGS BUILDING A
Project Address: 35002 PACIFIC HWY S Parcel Number: 185295 0050
Project Description: Electrical work to replace fire alarm panel.
ner . Applicant Contractor
FANA FED WAY CROSSINGS FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
10655 NE 4TH ST SULTE 700 206 FRONTAGE RD N FIRESWI055LW(6/16/17)
BELLEVUE WA 98004 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Electrical Work Valuation 500 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 Friday, February 10, 2017
Permit Issued on Thursday, February 11, 2016
I hereby certify that the above i rmation is correct and that the construction on the above described property and
the occupancy and the e w' e in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
F1114
11 ‘1L'icnit)
f
• THIS CARD IS TO MAIN ON-SITE
CITY OF
���� � Construction In ection Record , .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-100788-00-EL Address: 35002 PACIFIC HWY S
Project: OPUS NORTHWEST LLC 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.
❑ UFER Ground (4295) -Cl Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By t4,44, Date 3 f 1 I I V
0 Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
'ECEIVED • ii-
.4116„,...,
ELECTRICAL
FEB 112016
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
/
PERMIT NUMBER ' _ 0 _ El L
{(/ / 7 SUITE/UNIT/SPACE#
SITE ADDRESS: 5-c0666-), "r AcAFtc - 1-44-)`/ S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ _1J 4 s' 46).e, - — — — —
PROJECT NAME n
(Tenant or Homeowner Last Name) �L j,L p_4k�. t.,Jliy eac,ig,Jt!i S %�L Dt• 4
f . tztic S'3 Swet4c- DC --c c.,& 1 L4 cc—
PROJECT DESCRIPTION kts-rP-IC. E-.7:ST Z PIILC= 4-C 4/1-01 -24-Ne--Z. /4//Tile
Detailed description of work to j l-4.f Si[-L-- /T JC.II/I Ci7T •7(. p rifle:- 4 c .,44
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
1----1rc_c= SYS Tz�PIS LC$T, /'VC- (I•si) 5633- ny%
MAILING ADDRESS E-MAIL
ELECTRICAL lea 1=Raav (ser gyp A/ S v ITE---c_
CONTRACTORCITY STATE ZIP FAX
'►/q-C/PIC- y/4 1COY 1 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(--'i u -J1 cascs - J L / 14 / 1(0 19-`67-6 s9s46ty-0QS-St
NAME PRIMARY PHONE
APPLICANT S RI"'IC T12 c -c g ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME /f PRIMARY PHONE
PROJECT CONTACT t I 11-77- C 4,&...r414il,/ (ZS )15'1 - 60005 -
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 this application.
SIGNATURE: DATE 040
PRINT NAME: P1 44-d L pit 4A ./ t`
t
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application