17-101054 •
�, Electrical
City of Federal Way 1 t T
Permit #•17-101054-00-EL
Community Development Dept. ` ' " •
33325 8th Ave S ^ i t ,
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: REVIVAL SLAVIC BAPTIST CHURCH
Project Address: 37515 8TH AVE S Parcel Number:322104 9091
Project Description: Install electrical wiring for fire alarm system to existing system
Owner Applicant Contractor
REVIVAL SLAVIC BAPTIST CHURCH SECURITY SOLUTIONS NW SECURITY SOLUTIONS NW
37515 8TH AVE S 1619 N STATE ST SECURSN954JG(4/7/19)
FEDERAL WAY WA 98003 BELLINGHAM WA 98225 1619 N STATE ST
BELLINGHAM WA 98225
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Friday,6 April,2018
Permit Issued on Friday,March 24,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and th use ill be in accord- ceCiwith the = s, rules and regulations of the State of
ashingt•%n' a ty of F-deral Way.
Owner or agent: 0Date: 4—" 6.- l
FINALED
c
r
THIS CARD IS TO REMAIN ON-SITE
crn� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101054 00 Address: 37515 8TH AVE S
Project: REVIVAL SLAVIC BAPTIST CHURI FEDERAL WAY WA 98003-7432
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
*By Date ., By Date By Date
® 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 Date l 0 12. (11
El Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date .
. ,-,it ,, .: <
4
4,01,44k .
72111R
� �' '4ELECTRICAL x4
CITY OP -,Federal Way6 o'i PERMIT APPLICATION
-:**: PERMIT NUMBER I 7
__ _
SUITE/UNIT/SPACE#
SITE ADDRESS: 37515 S 8th AVENUE
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$1,000.00 3_2 2_1_0_4-9 0 9 1
PROJECT NAME REVIVAL SLAVIC BAPTISY CHURCH
(Tenant or Homeowner Last Name)
INSTALL NEW FIRE ALARM DEVICES
PROJECT DESCRIPTION - -
Detailed description of work to
be included on this permit only
REVIVAL SLAVIC BAPTIST CHURCH (253) 905-9547
PROPERTY OWNER
37515 S 8TH AVENUE E-MAIL
FEDERAL WAY WA 98003 FAX
( ) -
SECURITY SOLUTIONS NW (360)734-4940
1619 N. STATE STREET CODYS#i SSNW.CO
ELECTRICAL
CONTRACTOR BELLINGHAM WA 98225 (360)647-9540
SECURSN954JG 04/07/2017 20-04-105053-00-BL
SAME AS CONTRACTOR PRIMARY PHONE
APPLICANT MAILING ADDRESS ( E-MAIL
CITY STATE ZIP FAX
(
PROJECT CONTACT JASO OMER (360)746-4014
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.
SIGNATURE: 0 • �f , / DATE 2 CJ/- I j
PRINT NAME: 's I0 1a/`(1`
PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente u,,cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application