10-105380 •
Electrical
City of Federal Way + .JJ,,�
Community Development Services Permit #: 10-105380-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609111111410M qgf4141'
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Project Name: ST LUKE'S LUTHERAN CHURCH f. 0,„,-
Project
,,,Project Address: 515 S 312TH ST Parcel Number: 082104 9038
Project Description: Installation of wiring for fire alarm system
Owner Applicant Contractor
ST LUKES LUTHERAN CHURCH PACIFIC FIRE&SECURITY INC PACIFIC FIRE&SECURITY INC
515 S 312TH ST 828 POPLAR PL S PACIFFS914MF(07/01/11)
FEDERAL WAY,WA 98003-4033 SEATTLE WA 98144 828 POPLAR PL S
SEATTLE WA 98144
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Wednesday, December 28,2011,
Permit Issued on Tuesday, December 28, 201 fl
I herebycertify 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: Date: D
DATE , INSPECTOR, AREA AND TYPE 0. AASPECTION
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THIS CARD IS TO EMAIN ON-SITE o
c"°F S Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-105380-00-EL Address: 515 S 312TH ST
Project: ST LUKES LUTHERAN CHURCH FEDERAL WAY, WA 98003-4033
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By QJ Date $ a 3_I .
❑ Final-Electrical(4055)
Approved
By 0 i ti Date u, I -k 1
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal Way ELECTRICAL - RECEIVED-
PERMIT APPLICATION DEC 2 7 2010
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**Most electrical permits may be obtained on-line at www.cityo:ITedera OFwaFE,�•DRAL WAY
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SITE ADDRESS: 515 south 312th Street
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
O8` 2 ( 0 I- 90 8'
PROJECT NAME Saint Luke's Church
(Tenant or Homeowner Last Name)
Addition of new classroom wing, add to Fire Alarm System and
PROJECT DESCRIPTION upgrade FACP
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP // FAX
i )
NAME PRIMARY PHONE
,// Pacific Fire& Security Inc. ( 206 ) 788 - 3819
�/ MAILING ADDRESS E-MAIL
t LECTRICAL 828 Poplar P1 S Chrisr�a�pacificfiresecurity.corn
ONTRACTOR CITY STATE ZIP FAX
Seattle WA 98144 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PACIFFS914MF 07/01/2011 20 06 103860-OOBL
NAME PRIMARY PHONE
APPLICANT Same as Electrical Contractor ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Chris Rogers ( 206 ) 788 - 3819
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: DATE / qt1/7,0/p
PRINT NAME: /ills )>, .14*ts1'1
33325 8th Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application