17-103258 Electrical
FederalI L E Permit #:17-103258-00-ELc ,;nyDe ,pm
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MOD PIZZA
Project Address: 2042 S 320TH ST Parcel Number:092104 9271
Project Description: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
JERRY KESSELRINGMOD PIZZA FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC
2035 158TH CT NE SUITE 200 206 FRONTAGE RD N (ELECTRICAL)
BELLEVUE WA 98008 PACIFIC WA 98047-1023 FIRESWI055LW(6/16/19)
206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C.application'? Yes
( v uE
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,7 July,2018
Permit Issued on Friday,July 7,2017
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.
Owner or agent: rDate: a I I I r
r
--AK
THIS CARD IS TO REMAIN ON-SITE
Federal Wa IIII Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103258 00 Address: 2042 S 320TH ST
Project: JERRY KESSELRING FEDERAL WAY WA 98003-5416
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.
El UFER Ground(4295) 0 Ditch cover(4030) al Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
•By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 9❑ Ceiling Cover(4020)
Approved Approved Approved
By Date K Date 9-4 -_/r?: By Date
0 Final-Electrical(4055)
Approved
Date( \ `‘ \9
El Rough Electrical El Final Electrical fl Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
JUL 07 2017 ELECTRICAL
CITY OF CITY OF FEDERAL WAY
Federal Way COMMUNITY DEVELOPMENT PERMIT APPLICATION
PERMIT NUMBER / T_ / 03 ak s'g _ E L
SUITE/UNITT/SPACE#
SITE ADDRESS: 2104 S. 320th St
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 2,000.00 G !' O- / 0 Y -
PROJECT NAME
(Tenant or Homeowner Last Name) Mod Pizza
Install new Fire Alarm system for Mod Pizza Tenant Improvement.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Fire Systems West, Inc. (253 ) 833 _ 1248
MAILING ADDRESS E-MAIL
ELECTRICAL 206 Frontage Rd N, Suite-C service@firesystemswest.com
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 06/16 /18 19-87-000014-OOBL
NAME PRIMARY PHONE
Fire Systems West, Inc. ( ) _
APPLICANT MAILING ADDRESS E-MAIL
Same
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Matt Carlman ( 253 )951 -6005
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 Iocal, 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 cl 'ml, which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tot city art of this application.
SIGNATURE: 7-- DATE 07/07/2107
PRINT NAME: Matt Carlman
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 + permitcenteiracityoffederalway.com
Bulletin#160-April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application
-Electrical
City of Federal Way Permit #:17-103258-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2605
Project Name: MOD PIZZA
Project Address: 2104 S 320TH ST Parcel Number: 092104 9271
Project Description: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
JERRY KESSELRINGMOD PIZZA FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC
2035 158TH CT NE SUITE 200 206 FRONTAGE RD N (ELECTRICAL)
BELLEVUE WA 98008 PACIFIC WA 98047-1023 FIRESWI055LW(6/16/17)
206 FRONTAGE RD N
PACIFIC WA 98047-1023
•
Additional Permit Information
Is this an Online or O.T.C.application Yes
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,7 July,2018
oermit Issued on Friday,July 7,2017
I herebycertifythat the above i �•rmation is correct and that the construction on the above described property
� P P rtY
and the occupancy =nd the e will be in accordance with the laws, rules and regulatioState of
Washington and the City of Federal Way.
Owner or agent: .' Date: //7
THIS CARD IS TO REMAIN ON-SITE
Federal Construction Inspection Record -
Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103258 00 Address: 2104 S 320TH ST
Project: JERRY KESSELRING FEDERAL WAY WA 98003-5416
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) ,f® Ditch cover(4030) , El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By DateABy Date By Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,, •
0 Feeders/Sub-panels(4045) $ RoughElectrical(4225) ..El Ceiling Cover(4020)
Approved Approved Approved
By Date ;By Date By Date
10 Final-Electrical(4055)
Approved
.. . ../_ Date // 17.
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date