16-106098 ftwavED ELECTRICAL
CITY OF #.F;%.,;..,,,.,
Federal Way DEC 24 2016 PERMIT APPLICATION
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CDS PERMIT NUMBER (67
SUITE/UNIT/SPACE#
SITE ADDRESS: 13 5 3��( ST /S«
PROJECT VALUATION ASSESSOR'S TAX/PARCEL�/ # � �j CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) clC potNt..- LY y Li Cf-�sf s3(., S
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PROJECT DESCRIPTION c' (- I'Ak ko/N SV ec^"
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ��R�SCt� 1 >��/(=5T nt (��PN�(LCI c S, LLL ( )
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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CONTRACTOR CITY STATL ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT ' '
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MAILING-ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT ," 1k C r-) (' ) 9 S-) - (zsoso3 l
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 out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e c as a part of this application.
SIGNATURE: DATE /-2A/A,
PRINT NAME: "el l /1/11 fil4,(
PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(acityoffederalway.com
Bulletin 11160-April 14,2016 Page 1 of 1 k:'Handouts\Electrical Permit Application
s.
Electrical
City of Federal Way Permit #:16-106098-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: FEDERAL WAY LICENSING SERVICES
Project Address: 1320 S 324TH ST AOZ. Parcel Number: 150050 0070
Project Description: Tie in new electronic locked doors with fire alarm system
Owner Applicant Contractor
LICENSING SERVICES LTD FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC
FEDERAL WAY AUTO LICENSE AGENCY 206 FRONTAGE RD N (ELECTRICAL)
1750 S 327TH ST UNIT C4 PACIFIC WA 98047-1023 FIRESWI055LW(6/16/17)
FEDERAL WAY WA 98063-4957 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
3,rrl3i A l 33 ,, (3 ,i 33 e"
oge0 q, 1 lectrma'FI<xtures
Low Voltage- Fire Alarm(Co 1
PERMIT EXPIRES Wednesday,27 December,2017
Permit Issued on Tuesday,December 27,2016
,
I hereby certify that the above information is correct and that the construction on the above described property
and the occupant and fie use will be in accordance with the laws, rules and regulations of the State of
// Washington and the City of Federal Way. �!
Owner or agent: �' ` _ Date: /h J `f// e
FINALE®
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` THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
CITY OF ar:.�«
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 106098 00 Address: 1320 S 324TH ST Unit A-02
Project: LICENSING SERVICES LTD 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.
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W UFER Ground(4295) Q Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
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El Pool Bonding(4195) III Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) CI Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Fil Final-Electrical(4055)
Approved
By ((- Date ( — — / '2
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Rough Electrical ❑ Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
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