18-100454 Electrical
City of Federal Way Permit #:18-100454-00-EL
Community Development Dept.
33325 8th Ave S F ILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: GARDEN TERRACE
Project Address: 491 S 338TH ST Parcel Number:926480 0220
Project Description: Low-voltage wiring for fire alarm power supply replacement.
Owner Applicant Contractor
FEDERAL WAY MEDICAL INVESTORS FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC
3001 KEITH ST NW 206 FRONTAGE RD N (ELECTRICAL)
CLEVELAND,TN 37312 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
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Wednesday,30 January,2019
Permit Issued on Tuesday,January 30,2018
I hereby certify that the above info - ion is correct and that the construction on the above described property
and the occupancy and e u.- II be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way.
Owner or agent: Date: //'14/./i
•
THIS CARD IS TO REMAIN.ON-SITE
� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100454 00 Address: 491 S 338TH ST
Project: FEDERAL WAY MEDICAL INVEST FEDERAL WAY WA 98003-6352
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) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ••By Date
•
•® Pool Bonding(4195) „El Temporary Power(4275) ,I '
® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
10 •
Final-Electrical(4055)
Approved
By , I Date LA--7._ O
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
JAN 30 2018 ELECTRICAL
CITY OF
Federal Way � ,ML,N DEVELOPMENT'ENT' PERMIT APPLICATION
PERMIT NUMBER / y _ / 0 o v 5 (/ _ OC
SUITE/UNIT/SPACE#
SITE ADDRESS: 491 S 338th St
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
500 9 2 6 4 8 0 _ 0 2 2 0
PROJECT NAME Garden Terrace
(Tenant or Homeowner Last Name)
Replace existing Fire Alarm Power Supply.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Fed Way Medical Inv. ( ) -
MAILING ADDRESS E-MAIL
3001 Keith St NW
CITY STATE ZIP FAX
Cleveland TN 37312 ( ) -
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 / 30 / 18 19-87-000014-00-BL
NAME PRIMARY PHONE
Fire Systems West, Inc. (253 ) 833 - 1248
APPLICANT MAILING ADDRESS E-MAIL
206 Frontage Rd N, Suite-C service@firesystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Matt Carlman (253 ) 951 _ 9005
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 c y part of this application.
SIGNATURE: DATE 01/27/2017
PRINT NAME: Matt Cali ah
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application