17-106103 Electrical
'City yDevelralWayDept. Permit #:17-106103-00-EL
Community Development
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EVERGREEN EYE CENTER
Project Address: 34719 6TH AVE S Parcel Number:202104 9178
Project Description: Low voltage wiring for fire alarm system.
Owner Applicant Contractor
GUARDIAN CAPITAL MANAGEMENT ALARM CENTER INC(DBA ACE FIRE& ALARM CENTER INC(DBA ACE FIRE&
34719 6TH AVE S SECURITY) SECURITY)
FEDERAL WAY WA 98003 PO BOX 3407 ALARMCI055CW(2/1619)
LACEY WA 98509-3407 PO BOX 3407
LACEY WA 98509-3407
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Friday,28 December,2018
Permit Issued on Thursday,December 28,2017
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
Washin ton and the City of Federal Way.
Owner or agent: Date:
4
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 106103 00 Address: 34719 6TH AVE S
Project: GUARDIAN CAPITAL MANAGEME FEDERAL WAY WA 98003-8714
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) Q Ditch cover(4030) 1:1 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date 1� �
By Date ;�By Date
•
® Pool Bonding(4195) Q Temporary Power(4275) ® Service(4235)
Approved Approved Approved
BY Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date •By Date By Date
El Final-Electrical(4055)
Approved
By 1 Date \— b--
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
DEC CITY OF EC 2 8 2017
Federal Way CITY OFFEDr: WAY
PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER // i - ( 0 0 3_
( SUITE/UNIT/SPACE#
SITE ADDRESS: 34719 6TH AVE. SOUTH, FEDERAL WAY, 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S 2 0 2 1 0 4 - 9 1 7 8
PROJECT NAME
(Tenant or Homeowner Last Name) EVERGREEN EYE CENTER
INSTALL NEW WIRING AND TRIM , CUSTOMER PROVIDED PROPRIETARY"EST"
PROJECT DESCRIPTION PARTS. RELOCATE EXISTING ITEMS.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER GUARDIAN CAPITAL MANAGEMENT ( 253) 370 - 2037
MAILING ADDRESS E-MAIL
34719 6TH AVE. SOUTH
CITY STATE ZIP FAX
FEDERAL WAY WA 98003 ( ) -
NAME PRIMARY PHONE
ALARM CENTER INC ( 800 ) 354 - 1555
MAILING ADDRESS E-MAIL
ELECTRICAL PO BOX 3407 justin@alarmcenterinc.com
CONTRACTOR CITY STATE ZIP FAX
LACEY WA 98509 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ALARMCI055CW 02/ 16 / 18 20-00-101452-00-BL
NAME PRIMARY PHONE
APPLICANT SAME AS ABOVE ( 800 ) 354 - 1555
MAILING ADDRESS E-MAIL
SAME AS ABOVE SAME AS ABOVE
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT
JUSTIN FIESS (800 ) 354 - 1555
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: iJ _►�" DATE
PRINT NAME: JA STIN FIESS
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application