17-103266 Electrical
City of Federal Way Permit #:17-103266-00-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: NAUTILUS ELEMENTARY-PORTABLES 1
Project Address: 1000 S 289TH ST Parcel Number:052104 9005
Project Description: Install low voltage wiring for fire alarm system
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS
33330 8TH AVE S (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003-5433 1743 1ST AVE S GUARDSS233K5(9/30/18)
SEATTLE WA 98134 1743 1ST AVE S
SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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/ 2 33x33 r 3 - 33 13}33
y a xy 33 vtticai Fixture 13
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday, 11 August,2018
Permit Issued on Friday,August 11,2017
I hereby cert. --t the above information is correct and that the construction on the above described property
and th=occupa cy and the use will be in accordance with the laws, rules and regulations of the State of
W.: in ton and the Cly of Federal Way.
Owner or ag- : C /// ( (7-‘ Date: , l
r
'4\SL.,..._ THIS CARD IS TO REMAIN ON-SITE
CITY OF
% •
'' " Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103266 00 Address: 1000 S 289TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98003-3709
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) ® 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
•El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
CI Final-Electrical(4055)
Approved
Bye Date� ___('7
CI Rough ElectricalCI Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
2 �-2�- i '
RECEIVED ELECTRICAL
CITY OF
Federal Way JUL 0 7 2017 PERMIT APPLICATION
CITY OF COMMUNITY DEV OPM�Yj,E, ( _ l 0 CQ 6 _ CO
'I+ICRMIT NUMBER
SITE ADDRESS: IOCO 3. 281 � . federal V^u . 98063 SUITE/UNIT/SPACE#
ii -ea 142
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
1 G" O 5 2 I y - `-- 0 O \ men-4avv �SGhool
PROJECT NAME _ i , ) �/�
(Tenant or Homeowner Last Name) `[kU;\ E 10 (Inert-et/rig,.
mer- j/ i "_ ' `tew, 1
PROJECT DESCRIPTION Thr 1a1b)' I oddin e (2o) c e vi c e .
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �Yc2 I Tub\ C &hoc) i s ( ) -
MAILING ADDRESS E-MAIL
WO S. 28 f/.-
CITY , STATE ZIP FAX
1 Brat 1 f 1'C; 3 ( ) - _
PRIMARY PHONE
('-'11.Xo.�an Salt 1 0t�S-tems (o )c;Q2.-chis
MAILING ADDRESS E'-MAII,
ELECTRICAL I i�/3 �5* E' 3
-er,s* uaraf nseci 'l ]•,
CONTRACTOR STATE ZIP ✓ FAX 1 �J
� -e- 9Fi?-t/ ( ) -
TJ .„ CONTRALTOLICENSE� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
��V Il/ E jTY�i`jli\l{xx\-r\�- I—_ -- PRIMARY PHONE
APPLICANT 1O )h tQ cA V eri9 `r l� (� )(p?? - cos- is
MAILTG ADDRESS, E-MAII,
1-7-11L2 ism Al� S sercfitod ucrdanYea's+
STATE ZIP F
71rOtte gt313y ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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
I further agree to hold harmless the City of Feder Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defIn of su,Fh •-,_ whic • ay be made by any person, including the undersigned, and filed against the city,
but only where such itgai- arise* o' of the : • -_of the city, including its officers and employees, upon the accuracy of the
information suppli to e�cityy' oft s application.
SIGNATURE: ,I '1�%�� ( _ DATE 7- 3' /3-
PRINT
3-
PRINT NAM#r�r� CO J/ I Yl ' ( i J'k° -
PERMIT CENTER+ 33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente ii)cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application