17-103615 tr Electrical
CityotFederal Way
community Development Dept. Permit #:17-103615-00-EL
33325 8th Ave S
Federal Way,WA 98003 ' I - Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax(253)835-2609
Project Name: TELECARE RESIDENTIAL TREATMENT FACILITY
Project Address: 33480 13TH PL S Parcel Number:768190 0020
Project Description: Install fire alarm,access control and cameras for associated tenant improvement
Owner Applicant Contractor
TELECARE MENTAL HEALTH SERVICE OF ULTIMATE SECURITY&SOUND ULTIMATE SECURITY&SOUND
WA 7710 53RD AVE SW ULTIMSS932JO(4/20/19)
1080 MARINA VILLAGE PKWY SUITE 100 UNIVERSITY PLACE WA
ALAMEDA CA 94501 7710 53RD AVE SW
UNIVERSITY PLACE WA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Friday,27 July,2018
Permit Issued on Thursday,July 27,2017
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
Wa gton and the City of Federal Way. /
Owner or agent: Date: 7 / 2 7--/-7
L?_LIF INSPECTOR AREA AND TYPE Or I\SPa n tO
kelNaC
•
THIS CARD IS TO REMAIN ON-SITE
COY Of Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103615 00 Address: 33480 13TH PL S
Project: TELECARE MENTAL HEALTH SE! 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.
•® UFER Ground(4295) ,•El Ditch cover(4030) `•Q Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
•By Date By Date 1.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) El Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
�By Date •.�By 0_1�.� Date 1 0_S-1 r) t,By Date
El Final-Electrical(4055)
Approved
By (21s61,1, Date `L—'2.1,r'')
•
O Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY1 ELECTRICAL
F
Federal Way RECEIVED PERMIT APPLICATION
JUL 27 2017 1(. I� _ 0 (;)PERMIT NUMBER ( ✓ I ' 00
CITY OF FEDERAL WAY — — — —
COMMUNITY DEVELOPMENT
SUITE/UNIT/SPACE#
SITE ADDRESS: -1.) ]j 4 to 13
41 el,
S
PROJECT VALUATION ASSESSO S TAXi PAR L# o 00 o CURRENT/PROPOSED UtSE
in$ ` x.50&.06 -
PROJECT NAME „__
(Tenant or Homeowner Last Name) (L (C k
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T.-1,A%1/ rl^vL 4 'U✓ra, / a cc(fj 6,1 At,I ati CGt✓A!`-ol)
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
l ) -
NAM PRIMARY PHONE
(� `�� VIA� Secs l 1-, Gv i S/uti/ (�-S 1i ) 'CCI - '3W
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MAILING ADDRESSv E-MAIL
'M O 5" 1.fi �/)/ i..., r.� I
ELECTRICAL
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CONTRACTOR CITY ��// ( STATE ZIP D ( FAX
U WA STATE CONTRACTOI I
SL CENSE# V V EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
U1.-71M55 f 1)2_ 7 0
NAME PRIMARY PHONE
APPLICANT i```� �vk 1 T L, (2-c )' - y-.1‘ /
MAILING ADDRESS /A'/, ol``�, E-MAIL C
/ 3d 5 l�q)#,-,�r d . 1V (/O+‘h.ic a.i-t 1 iii,IhLi1l(��)
•CITYSTATE ZIP FAX
KGi4 1 44 8051 ( ) -
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 further agree to hold harmless the City of Federal Way as to arty 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 pa of this application.
SIGNATURE: 2 DATE 7 r 2 /- / 7
PRINT NAME: I=vl� L 1-1-)
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application