17-101779 . * ..
F - i
Electrical
City of CommunityDevelral opmentDept. Permit #:17-101779-00-EL
33325 8th Ave S
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: Install electrical wiring for fire alarm system
Owner Applicant Contractor •
PATTEN PROPERTIES WEST COAST SECURITY WEST COAST SECURITY
17923 RIVIERA PL SW PO BOX 2304 WESTCCS940K5(5/28/18)
NORMANDY PARK WA 98166 ORTING WA 98360 PO BOX 2304
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application? Yes
i t P
,. ?rr3,s �(�f �6'E� E fg � j� �r
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Thursday, 19 April,2018
Permit Issued on Wednesday,April 19,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and t - e will be in accordance with the laws, rules and regulations of the State of
W- 'ngton and the City of Federal Way.
Owner or agent: Date: y//02
THIS CARD IS TO REMAIN ON-SITE
or Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101779 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.
0 UFER Ground(4295) 0 Ditch cover(4030) � Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date •By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
i. .
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
,By Date ..By Date BY Date
El Final-Electrical(4055)
Approved
By !b._\ Date 5a2:L -1'l
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ELECTRICAL
Federal Way PERMIT APPLICATION
I RECEIVED
t
PERMIT NUMBER _ 0 l 77'r _ do
— — — — APR 1 g 2017
cur,' yr m.ft4E#
SITE ADDRESS: 33530 /1)aG,` e(G L,/4 y r-- COMMU VITY DEV.11OPMENT
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# // �•- CURRENT/PROPOSED USE
o0 oo
PROJECT NAME A _01�k��iii 7 C /ate t5
(Tenant or Homeowner Last Name) �( v( T
PROJECT DESCRIPTION 1 41.5{qL:/e(r G ® 14-e-
Detailed description of work to �/r f'� &In
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME , PRIMARY PHONE
651- Caa,$f 5CtRi7,'Y (2-3)VSs 4//I$
MAILING ADDRESS E-MAIL
ELECTRICAL Pc' �G/ /e6
CONTRACTOR CITY STAT ZIP FAX
OCt-( wH fe ::3 ( ) -
WA STATE CONT OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
G✓6S(cc; q40
NAME
� PRIMARY PHONE
APPLICANT -ra ktT 541 Vc `( Pf3)2-S$` 4te
MAILING ADDRESS E-MAIL
'Po so/ ( 6
CITY STATE ZIP FAX
Off' c'45 144 ) _
PROJECT CONTACT NAME Q /gPiV ��4'C /,/ 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 a -es ou of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ty as • .art oft - lication.
SIGNATURE: // DATE L//
/ /if
PRINT NiorproP---
Bulletin#160—January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application