18-102121i
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 8352609
Electrical
FILEPermit #:18 -102121 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: BROOKLAKE VILLAGE - BUILDING C
Project Address: 34815 PACIFIC HWY S Parcel Number: 202104 9042
Project Description: Adding monitoring to new rooftop HVAC units w(5) remove test switches coming off existing
FACT
Owner
Applicant
Contractor
BROOKLAKE VILLAGE LLC
KARA MORROWNW Fire Systems
NORTHWEST FIRE SYSTEMS
33409 9TH AVE S SUITE 206
22645 S 83 AVE
NORTHFS875MJ (8/10/19)
FEDERAL WAY WA 98003
KENT WA 98032
22645 83RD AVE S BLDG D
USA
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Low Voltage - Fire Alarm (Co 1
PERMIT EXPIRES Friday, 17 May, 2019
Permit Issued on Thursday, May 17, 2018
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
Washington and the City of Federal Way.
Owner or agent: 1 1 ' K I Date:
I . —�
FINALED
t
Federal Way
PERMIT #: 1810212100
t
TRIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 34815 PACIFIC HWY S
, Project: BROOKLAIK:E VILLAGE LLC FEDERAL WAY WA 98003
�r�I��IIYI�I
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
LIFER Ground (4295)
0
Ditch cover (4030)
3
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Q
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
f1 o Final - Electrical (4055)
Approved
Date
J
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED ELECTRICAL
CITY OF
Federal Way MAY 17 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY f
COMMUNITY DEVELOPMENT PERMIT NUMBER ` 1 0 2 I
SITE ADDRESS: L1 G SUITE/UNIT/SPACE•
% Q�l•4-%c. X1 3C
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i C NT/PR, POSED USE
$ 4,Cthl O 2- a 2 1 o l.( - °l o u 2 -4-0 t
PROJECT NAME ` r+
(Tenant or Homeowner Last Name) .nei...10 .M C-
a' n� IA� �� gC
PROJECT DESCRIPTION �I - L?Y�`' c 10� � �eS
Detailed description of work to 1% �.% L COVwy\( tz•` OC��k�[�
be included on this permit only `� —J\
NAME { , ` ' I /f PRIMARY PRONE
PROPERTY OWNER r - �121LeV 1 k\2c!e _ 1 `-C ( `�) 1 -�1
MAIL3IN ^ • V l � EMAIL
C 14Xii CP NieJ) STATE ZIP FAX
«1 cr2l lam- 1�a QiC6Oc ( ) -
NAME PRIMARY PHONE
1\c7C1'�c g ( ?2$- 14h
MAD.INO ADDRESS y,�- �Q I-MAIL
ELECTRICAL 22 % ��'e�V1�1 Lel� t.2) emir^C r M ile.%
CONTRACTOR OR QI'i'Yj�� STATE zl��b � Pnx S
1c2 (a
us V-
1�� tt' G -
�� WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY EUSINESS LICENSE M
14Ce.TIW 8'1� MC Nd s FsCr- 2 ?f
/ / >--fb-Id1411--Oo ).
-
fit+'c $ `O- % NAAME_ j� 2� /� PRIMARY PHONE
APPLICANT lig " '(7CSD' (AL9 7t8s 14-15
MAILING ADDRESS czosza ot4es 8 ima I-MAU.
vier..4.........eizicae5mitat ci:Ailtrz zn.4:zoist2.... (
NAME PRIMARY PHONE
PROJECT CONTACT ..,(:\gietatliyeN, (ONg)'?' - •
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 su claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Information • •I e to thea part of this application.
SIGNA -
- :�i W,.‘ �� DATE •l
i'7 A
PRINT NAME: VIP 1\f\e1Arle-CA)...)
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