14-101422 t ;Electrical
City of Federal Way
Commuhity&Econ.Dev.Services Permit #: 14-101422-00-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: CAFFE D'ARTE
Project Address: 33926 9TH AVE S Parcel Number: 926480 0125
Project Description: Low-voltage wiring for fire alarm system modifications.
Owner Applicant Contractor
CAFFE D'ARTE MERIDIAN SECURITY&ELECTRIC MERIDIAN SECURITY&ELECTRIC.
909 S 336TH ST SUITE 103 PO BOX 7171 MERIDSE022D5(3/25/16)
FEDERAL WAY WA 98003 KENT WA 98042 PO BOX 7171
KENT WA 98042
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-Fire Alarm(Comm 1
PERMIT EXPIRES Wednesday, September 24, 2014
Permit Issued on Friday, March 28, 2014
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. r/
Owner or agent: A Date: ?'-
FINALED-
• THIS CARD IS TO ON-SITE
Construction In ection Record
Federal Way Y INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101422-00-EL Address: 33926 9TH AVE S
Project: CAFFE D'ARTE FEDERAL WAY, WA 98003-6709
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.
O LIFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) '❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) �El Rough Electrical(4225) • �0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
. . .
❑ Final-Electrical(4055)
Approved
By IMO Date 4 I lSI I y
O Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
111111162ffins, 111
CITY OF ELECTRICAL
Federal WayMAR 2 8 2014
W PERMIT APPLICATION
PERMIT NUMBER / 41 / ant OF FEDeRAL
0 / 47 ' y.
1 SUITE/UNIT/SPACE#
SITE ADDRESS: '3 of 2r�, 1"\^. J. s
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME C� j� Q
(Tenant or Homeowner Last Name) '►` 1 �,I
c4..c� ey S-1 -(-6 (ftc= covarJ PlhiAt ess ( + tom)
PROJECT DESCRIPTION 4--i 1 1-/6:A of
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER 0 cf\V\ (f D�E� •- j & ( 7 r W- g0 cf
MAIL ADDRESS S 3 r- 5+ L o3 CP�/E-MAD.
CITY 66 STATE ZIP
Cil�,V` VV 41C\ /41- Gt oVo 3 ( ) FAR
NAME PRIMARY PHONE -
Me v"ri SecCA-.'P. i -� ` � l vel C ( Z3) p3- 1712
MAILING ADDRESS I E-MAIL
ELECTRICAL C'0 bl7' l (1
CONTRACTOR CITY l scot}eyvte-.s d u.ti SLc�4^ t�iz
I --i STATE ZIP FAX. - q C( 2_ ( 23 /o
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
-- -- _. _ .._
NAME - .. - PRIMARY PHONE T
APPLICANT f (.7-T(S ( )
MAILING ADDRESS E-MAIL -
CITY STATE ZIP FAX
NAME ( )
PROJECT CONTACT 5,, Q 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 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 of this application.
. .-_—________. c--.41
1.-
SIGNATURE: ✓ DATE 3 r-- 2-0
-- 2-a0 _--_/
Li-
PRINT NAME: l () 4"t a f ( i S
Bulletin#160–January 1,2013 Page 1 of 2 k_\Handouts\Electrical Permit Application