17-105812 Electrical
.. .., 1 LE
City of Federal Way Permit #:17-105812-00-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: ROUND TABLE PIZZA
Project Address: 34410 16TH AVE S Parcel Number:250090 0040
Project Description: Remove existing fire alarm notification device for wall paper. Reinstall existing fire alarm
notification device after wall repair
Owner Applicant Contractor
FEDERAL WAY MARKETPLACE INVESTORS FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC
LLC 206 FRONTAGE RD N (ELECTRICAL)
5743 CORSA AVE SUITE 216 PACIFIC WA 98047-1023 FIRESWI055LW(6/16/19)
WEST LAKE VILLAGE CA 91362 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
,
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Wednesday,5 December,2018
Permit Issued on Tuesday,December 5,2017
I hereby certify that the above i mation is correct and that the construction on the above described property
and the occupancy d the e will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: Date: /1./'‘ y
• J
THIS CARD IS TO REMAIN ON-SITE
CITY OP Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105812 00 Address: 34410 16TH AVE S Unit 101
Project: FEDERAL WAY MARKETPLACE IP 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.
El UFER Ground(4295) • Z❑ Ditch cover(4030) El Slab/Concrete.Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) ) 0 Temporary Power(4275) .f.1:1 Service(4235)
Approved Approved Approved
By Date f�By Date /,By Date
ID Feeders/Sub-panels(4045) •'.® Rough Electrical(4225) ,• 9❑ Ceiling Cover(4020) ,
Approved Approved Approved
By Date By Date By Date
E I Final-Electrical(4055)
Approved
By C Date fa,..1‘..`15
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OP DEC 0 5 20fi1
Federal WayPERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT + - I 0 5—87 L 2 `D c
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 34410 16th Ave S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
100 2 5 0 0 9 0 _ 0 0 4 0
PROJECT NAME Round Table Pizza
(Tenant or Homeowner Last Name)
Remove existing fire alarm notification device for wall repair.
PROJECT DESCRIPTION Reinstall existing fire alarm notification device after wall
Detailed description of work to repair.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Federal Way Marketplace West
MAILING ADDRESS E-MAIL
30300 Agoura Rd #270
CITY STATE ZIP FAX
Agoura Hills CA 91301 ( ) -
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/ 31 / 18 19-87-000014-0-BL
NAME PRIMARY PHONE
Same ( ) _
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
l
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 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 ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the,eity a part of this application.
'
SIGNATURE: / DATE 11/28/2017
PRINT NAME: Matt C rlman
PERMIT CENTER+33325 8m Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcentecr cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application