14-106145,
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: NET CERT LABS
Project Address: 1020 S 344TH ST Unit 209
Project Description: Install intrusion alarm
0 Electrical
Permit #: 14 -106145 -00 -EL
Inspection Request Line: (263) 836-3060
Parcel Number: 926480 0080
Owner
Aunlicant
Contractor
HARSCH INVEST REALTY LLC
JENNIFER BURGESS
A D T LLC
PO BOX 2708
ADT LLC
ADTLLL*881DO (3/20/16)
PORTLAND OR 97208
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
BOTHELL WA 98011
BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1
PERMIT EXPIRES Sunday, May 31, 2015
Permit Issued on Tuesday, December 2, 2014
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
the al Way.
Owner or agent: "NOW W me Date:
s
• THIS CARD IS TO . MAIN ON-SITE
CITY OF �
Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -106145 -00 -EL Address: 1020 S 344TH ST Unit 209
Project: HARSCH INVEST REALTY LLC FEDERAL WAY, WA 98003
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)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
E]
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date 12.5±J
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Monk^
F PERMI'1rAPPLICATION
Federal Way AgRoval—
RECEIVED
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PERMIT NUMBER
_ TARGET DATE
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SITE ADDRESS
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PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING EffHIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
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Detailed description of work to
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be included on this permit onlyU
NAME
PRIMARY PHONE
PROPERTY OWNER
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WA STATF, CONTRACTOR'S LICENSE #IRATION
DATE
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FEDERAL WAY BUSINESS LICENSE #
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NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME � /� "
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PRIMARY PHO>V� �' � „ /
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PROJECT CONTACT
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(The individual to receive and
respond to all correspondence
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ZIP
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FAX
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concerning this application)
PROJECT FINANCING
NAME
� OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: '/'!/� ,G��'—^— DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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CITY OF PERMIT APPLICATION
Federal Way OCI 2 2 2013 1�01
PERMIT NU51BER D
OF F DERAL WAY
yTARGET DATE
SITE ADDRESS SUITE/UNIT 4
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PROJECT VALUATION ZONING ASSESSOR'S T�/PARCEL #
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$ 51
TYPE OF PERMIT El BUILDING El PLUMBING 0 MECHANICAL 0 DEMOLIT[IDN El EIqGINEERING XFIRE PREVENTION
NAIVIE OF PROJECT + s OD J
PROJECT DESCRIPTION Jy , -)-F
Detailed description of work to P—ff 4A, b 1, r) I LLD be included on this permit only
AME PRIMARPH
PROPERTY OWNER NTfl rTA 1'4 9 -r !A /I r:;+n 47,-7 9 � , Y SC 10 /1-11- j) "219 1
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WA STATE dONTRACTOR'S LICENSE
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME
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PRIMARY PHONE
MAILINGADDRESS
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E-MAIL
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APPLICANT
CITY
STATE
ZIP FAX
NAM
PRIMARY PHONE
PROJECT CONTACT
,fW /,jTrjf
MAILING ADDRESS
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E-MAIL
(The individual to receive and
respond to all corresponence d
concerning this application)
PROJECT FINANCING
NAME Nj
A
OWNER -FINANCED
Required value of$5,000 or more
IRCW 19.27.095/ 1
MAILING ADD SS, CITY, STATE, ZIP
PHONE
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.
Iftirther 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. yl�
DATE
PRINT NAME:
BLilletin #100—January 1. 2013 1 Ad S 100 Page I of 3 k:\Handouts\Perrnit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offtaure to be installed or relocated as part of this project. Do not include existingfiktures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (coma,.. at
BOILERS FURNACES HOT WATER TANKS iGa.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Area
Occupancy Groups)
$
Indicate how many of each type of fixture
to be installed or relocated as
part of this project. Do not include existing Ytures to remain.
BATHTUBS forTub/shower Combol
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utaayl
WATER HEATERS (Etectricl
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Area
Occupancy Groups)
Construction
# of
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Type
Stories
Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Groups)
Construction
# of
Additional Information
in Square Feet
Type
Stories
=_NEW BUILDING
�*,>
'a
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 1, 2013 Page 2 of 3 k:Ulandouts\Permit Application