17-102593 l a
Electrical
City of Federal Way
t Permit #:17-102593-00-EL
Community Development
33325 8th Ave S
f,
Federal Way,WA 98003 ; Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: ADVANCE AUTO PARTS
Project Address: 33530 PACIFIC HWY S Parcel Number:797820 0060
Project Description: Installation of a low voltage security system.
Owner Applicant Contractor •
PATTEN PROPERTIES JERAMY SHIVELT,PRESIDENTWEST WEST COAST SECURITY
17923 RIVIERA PL SW COAST SECURITY WESTCCS940K5(5/28/18)
NORMANDY PARK WA 98166 PO BOX 1806
ORTING WA 98360 PO BOX 2304
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Burglar Alarm' 1
CONDITIONS:
PERMIT EXPIRES Thursday,31 May,2018
Permit Issued on Wednesday,May 31,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and • - All be in accordance with the laws, rules and regulations of the State of
A - hin. - -nd the City of Federal Way. `
Owner or agent: Date: .547 2
LO
THIS CARD IS TO REMAIN ON-SITE y. 1
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102593 00 Address: 33530 PACIFIC HWY S
Project: PATTEN PROPERTIES 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) El Ditch cover(4030) [3 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
1'
® Pool Bonding(4195) El Temporary Power(4275) 1#El Service(4235)
Approved Approved Approved
.By Date By Date By Date `
El 8 Rough Electrical(4225) •® CeilingCover(4020)
(4045) ❑ g ( )
Approved Approved Approved
By Date .*By Date .By Date •
El Final-Electrical(4055)
Approved
By �, . Date Rs -- 1 el
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By. Date By Date By Date
RECEIVED ELECTRICAL
LEC'TRICAL
Federal Way MAY 3 12017 PERMIT APPLICATION
CITY FEDERAL WAY -
' - B
COMMUNOFfTY DEv M MBER 1
SITE ADDRESS: SUITE/UNIT/SPACE#
����� poca f/4 5/ 5
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /c00 / 5 7 s,. 2- D _ L O Co d
PROJECT NAME A./.., a
(Tenant or Homeowner Last Name) h /',p, 4• E 74-,}
PROJECT DESCRIPTION I II S1L`l ea a L.G k/ Y /f .-
Detailed description of work to �&C. /,C/� r/k/ f7L f
be included on this permit only / !y
NAME/� ! �� 1)� ) PRIMARY PHONE
PROPERTY OWNER �'( �v � � ��_ cf1�g
IVILING ADD7REESS/S` �}'/ ,,[/. / j ,.
y353 P. ( ` �. &tilt 5 E-MAIL
CITY STATE ZIP
fr% / v4, /t .i.0. '.? ( ) FAX
NAME
�1/esf GO�tsf Sl° � / ( �)ate PHONE
MAILING� �K G.gDRES$ E-MAIL
ELECTRICAL Poi
CONTRACTOR CITY STATE ZIP
�.� FAX
r( ( )
WA STATE CONT TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(n/&574 6 GS Ola/r;`
NAMEPRIMARY PHONE
APPLICANT 5
MAILING� � s� U�l�/ -3)a3� zrll9
C/
Po ea7l Zg�1//. E-MAIL
CITY I, STATEZIP
� FAX
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PROJECT CONTACT NAME PRIMARY PHONE
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 - ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to part o pplication.
SIGNATURE: ��'"' DATE
PRINT NAME: ( � tit/
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application