15-106133 S` • Electrical
City ofFEcon.
way Permit #: 15-106133-00-EL.
Community&Ecoo n..D Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
IF ILProject Name: TESORO
Project Address: 3450 S 344TH WAY Suite 135 Parcel Number 222104 9040
Project Description: Relocate existing fire alarm devices.Remove(1)data circuit and(3)notification circuits
•
Owner Applicant Contractor
LBA REALTY FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
. 600 UNIVERSITY.ST SUITE 3025 206 FRONTAGE RD N FIRESWI055LW(6/16/17)
SEATTLE WA 98101 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information •
Electrical Work Valuation 1000 Is this an Online or Q.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 3
PERMIT EXPIRES Wednesday, June 1, 2016
Permit Issued on Friday, December 4, 2015
I hereby certify that the above informati is correct and that the construction on the above described property and
the occupancy and the us ill be in rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: )2/L� /
'
,.
CITY OF Construction Insp ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106133-00-EL Address: 3450 S 344TH WAY Suite 135
Project: LBA REALTY 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.
0 UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) 0 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
���A ^ By a N Date k -`1 ._m,
r Final-Electrical(4055) —
Approved
By 0..\.,6.".. Date \_ a1_, ,6
El Rough Electrical ~' Final Electrical -` Ei
Right of Way
Approved Approved Approved
By Date By Date By Date
0 • ...
,,,A,..., ELECTRICAL
CITY OF
Federal Way PERMIT APPLregrillan
0 0
PERMIT NUMBER 15 — (6, ( 33 00
— — — — CITY lJF DEC FED4E2015
RAL WAY
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rDs
SUITE/UNIT/SPACE#
SITE ADDRESS:
Lis'g5 5. 3Li,/ - (,)-+}y /'4s"
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ / 0 2 z z. I $ 471 - 9 sz5 ? 4Oi�/'-
PROJECT NAME
(Tenant or Homeowner Last Name) —1.6.-.5 o il_o
<2C-toC_.,a,Tcr-- Gsetl sy-tA3C, c I(LC N(..Ar&I"
PROJECT DESCRIPTION —pc--`08C_Cr -
Detailed description of work to 2Lr1,40 vG' 1 DATA} CI(LC V N T
be included on this permit only
clC LO«TCs 3 .ubTlc IC AN-ia4.3 C-tiLL_u\TS
NAME PRIMARY PHONE
PROPERTY OWNER r2 .Y t S ( ) -
MAILING ADDRESS E-MAIL
?C). C-X `6`i 1
CITY STATE ZIP FAX
CN(t-l_S '611,c , Ci1 `'i t co I% ( ) -
NAME PRIMARY PHONE
Fltzr gySTt r1% i,)ESr /.�. ( s'3 )`633 - ��.v/
MAILING ADDRESS ' E-MAIL
ELECTRICAL T c CIsa J-rIVAIG— 1La 1-; ,Su ct<—-L t1hirc pf' 'Yfrt7-i. G-/t-)T[u..1
CONTRACTOR CITY STATE ZIP FAX
9\p‘cac-tc__ L..)ON C %46L11 ( ) -
/WA�ST�ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
rongt c-t R.CSLa t CIZ'S S t-A) co/ 1 C.! /1 1 te`-V/-9b t Li—4S 4—(3L.
NAME PRIMARY PHONE
( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
/v/ii-TT L�4,CL.4I4A./ (')- 3) 961 - (oasoS
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 rt of this application.
SIGNATURE: / DATE /t///c
PRINT NAME: lf,4-r 6'"4L/N14Al ,
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application