13-100967Project Name: MULTI SERVICE CENTER
Project Address: 1200 S 336TH ST
Project Description: Run wire for a Security System
9
Electrical
Permit #: 13 -100967 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926503 0055
Owner
ApRlican
City of Federal way
FILE
Community &Econ. ev. Services
WASHINGTON ALARM INC
33325 8th Ave S
WASHINGTON ALARM INC
Federal Way, WA 98003
FEDERAL WAY, WA 98093
Ph: (253) 835-2607 Fax: (253) 835-2609
1253 S JACKSON ST
Project Name: MULTI SERVICE CENTER
Project Address: 1200 S 336TH ST
Project Description: Run wire for a Security System
9
Electrical
Permit #: 13 -100967 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926503 0055
Owner
ApRlican
Contractor
MULTI SERVICE CENTER
MARK MCILWAIN
WASHINGTON ALARM INC
PO BOX 23699
WASHINGTON ALARM INC
WASHIAI2820 (12/5/13)
FEDERAL WAY, WA 98093
1253 S JACKSON ST
1253 S JACKSON ST
SEATTLE WA 98144
SEATTLE WA 98144
Additional P r"' nformaiI66'
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, March 1, 2015
Permit Issued on Friday, March 1, 2013
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: ^1611 same= Date:
`%b 31S/1�S
THIS CARD IS TOMAIN ON-SITE IS
CITY OF
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100967 -00 -EL Address: 1200 S 336TH ST
Project: MULTI SERVICE CENTER FEDERAL WAY, WA 98003-6347
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.
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By Date—
`
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By Date—
`
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By Date—
`
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
n
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RIVED 0
CITY OF PERMIT APPLICATION
Federal Way DEC 2 2 2014
CITY OF FEDERAL
) WAY
PERMIT NUMBER / _ ) dA
fm_ / ( _
rv— TARGET DATE PIA
SITE ADDRESS
I -;L00 J,- (800Z
UE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
'1 S S
$ 7q[,
Z (o S O - cZ 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING )4 FIRE PREVENTION
NAME OF PROJECT
LA -kit_ Service Bend{
a',pmt Ot.9l tU
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
- V- .i �-.
NAME P.RIMARY PHONE
PROPERTY OWNER
UE 2r'3 tf35- 7(0*$
MAILING ADDRESS
MAIL
pts CSU)( 23019
K ; t in t nnwk _ S�21-i v %ZA
CITY
FEDEV-RL
STATE I
SNA
ZIP
996-1-3
GL(lte_r ,
NAME
WASMINCATO
PHONE
2" 3,Z& -.37T1
MAILING ADDRESS
E-MAIL
2 pOr-T W S®UT- 4
CONTRACTOR
CITY
STATE
ZIP
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�
z zg-
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
wR ��A zC3 Uzi i s
-00- WZ -00-13L-
NAME
R 1N&1vN "ICM
PRIMARY PHONE
(200 221 `3Z9q
MAILING ADDRESS
t12' bvLN W0VT
E-MAIL
MrA U-)CLi n dLU Gi'In�r^lyn
APPLICANT
CITY STATEFAX
SCAMe: vUR ZIP L
Z(0)329- ic15`-,
NAME
1Q LcuAA-z5--221,8
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
A T Su
E-MAIL
h In 3 tk% .I ns tvn
(The individual to receive and
respond to all correspondence
1TI-6
3W E�
1^t
ZIP ` ,
` � "i
F 32 6.} S
concerning this application)'9EA
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or mare
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 clairno, 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 the city as apart of thi application.
ff �`,``
DATE �a 1 �, 20 d V
SIGNATURE:
PRINT NAME: tbA aY
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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