18-101371Ak +
City of Federal Way
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253)835-2609
Project Name: ST VINCENT DE PAUL PARISH
Electrical
Permit #:18 -101371 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 30525 8TH AVE S Parcel Number: 082104 9005
Project Description: Low -voltage wiring for replacement of fire alarm panel.
Owner
Applicant
Contractor
ARCHDIOCESE OF SEATTLE
EVERGREEN FIRE ALARMS LLC
EVERGREEN FIRE ALARMS LLC
710 9TH AVE
2111 S 90TH ST
EVERGFAOOOLG (6/8/18)
SEATTLE WA 98104
TACOMA WA 98444
2111 S 90TH ST
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
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1 1 1
PERMIT EXPIRES Thursday, 28 March, 2019
Permit Issued on Wednesday, March 28, 2018
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: .�'%'� Date:
1.
cm CW
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
1810137100 Address: 30525 8TH AVE S
ARCHDIOCESE OF SEATTLE FEDERAL WAY WA 98003-4115
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARb. 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
UFER Ground (4295)
Feeders/Sub-panels (4045)
Ditch cover (4030]3❑
Rough Electrical (4225)
®
Slab/Concrete Floor (4255)
Approved
IBY
Approved
Approved
Approved to place concrete
3y Date
By
Date
Date
By
Date
41 Pool Bonding (4195)
Feeders/Sub-panels (4045)
Temporary Power (4275)
Rough Electrical (4225)
®
Service (4235)
Approved
Approved
Approved
Approved
Approved
ly Date
By
Date
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Final Electrical
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 1-:)� b -
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
_ .._- Date __.
_ By
Date
CITY OF
Federal Way
RECEIVED ELECTRICAL
MAR 2 8 20 PERMIT APPLICATION
CCfy pF`r'EDEr'%AL1NAy
COMMUN" DEVELOPMENT PERMIT NUMBER _
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certgy 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 authorised 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
constmetion 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 apart of this application.
SIGNATURE:
PRINT NAME: Brian
PERMIT CENTER + 33325 8f Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente ,ilcityoffederalway.com
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS:
30525 Sth Ave S. Federal Way 98003
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
J (p
082104-9005-09
Group A
PROJECT NAME
St. Vincent de Paul Parish
(Tenant or Homeowner Last Name)
Replace existing fire alarm panel. Reuse all existing devices
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Archdiocese of Seattle
( 206 ) 382-2064
MAILING ADDRESS
E-MAIL
710 9th ave.
trockweD*stvincentparish.org
CITY
STATE
ZIP
FAX
Seattle
WA
I
98104
NAME
PRIMARY PHONE
Evergreen Fire and Security
( 253) 627 -3794
MAILING ADDRESS
E-MAIL
ELECTRICAL
2111 South 90th St
bbutcher*everi reenfire.com
CITY
STATE
ZIP
FAX
CONTRACTOR
Tacoma
WA
98444
,/
� I
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
V
EVERGFA979P7 031 10 /2020
20 -12 -102201 -00 -BL
NAME
PRIMARY PHONE
Evergreen Fire and Security
( 253 ) 627 -3794
APPLICANT
MAILING ADDRESS
E-MAIL
2111 South 90th St
bbutche arab, vergreenfire.com
CITY
STATE
ZIP
FAR
Tacoma
WA
98444
NAME
PRIMARY PHONE
PROJECT CONTACT
Brian Butcher
( 253 ) 627 -3794
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certgy 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 authorised 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
constmetion 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 apart of this application.
SIGNATURE:
PRINT NAME: Brian
PERMIT CENTER + 33325 8f Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente ,ilcityoffederalway.com
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application