15-100575 • ,
•
Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-100575-00-EL
33325 8th Ave S
Federal Way,WA 98003F I LE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY CROSSINGS BLDG M
Project Address: 1401 S 348TH ST Parcel Number: 185295 0080
Project Description: Swap out existing fire alarm control panel and initiating devices
Owner Applicant Contractor
FANA FED WAY CROSSINGS FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
10655 NE 4TH ST SUITE 700 206 FRONTAGE RD N FIRESWI055LW(6/16/15)
BELLEVUE WA 98004 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
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-Fire Alarm(Comm( 1
PERMIT EXPIRES Tuesday, August 4, 2015
Permit Issued on Thursday, February 5, 2015
I hereby certify that the above informs p n is correct and that the construction on the above described property and
the occupancy and the use will be ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: $ i2-r3 /5
P‘V.S.
•
. THIS CARD IS TWAIN ON-SITE
Federal Wa Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-100575-00-EL Address: 1401 S 348TH ST
Project: FANA FED WAY CROSSINGS FEDERAL WAY, WA 98003-6882
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.
o UFER Ground (4295) Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
I
o Pool Bonding(4195) '❑ Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
•El Feeders/Sub-panels(4045) ElRough Electrical (4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
LI Final-Electrical(4055)
Approved
By 9o* Date .1-�2 1
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r
• 11111
•
ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
Realm
PERMIT NUMBER _ 1 0 O 575- 0
- - - - FEB 05 2015
TR
SITE ADDRESS: CFI !AL WAY
/`116/ 5 mi-7-11 3 tib - rirfr iL Fe-iX7t/f-4-- c./}y CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# O ^ CURRENT/PROPOSED USE
$ Z,'?ciu IS Sz q5 -
PROJECT NAME
(Tenant or Homeowner Last Name) (-'[---p6-2,yL l-"Ay C/e,s/�GS i DG
SCJv p GUT C,r2Cr RCAiZ C 'Ti '- 2AAle=L A,l/1)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME Afs.) C{.'.00--1�(sL WRY CA_o55\AJC_S�LP PRIMARY PHONE
PROPERTY OWNER yo CP,•-,p GtbuP c,t- Cor"Pktines (9Z5- )g(65 -Z6'Z3
MAILING ADDRESS E-MAIL
)cbCP6. A/C '-1T'-M ST/ rT 50 TC-" 756(6
CITY STATE ZIP FAX
9CSv ( ) -
NAME PRIMARY PHONE
F/izc- 5157(r1', Lib. -r (25'3 )'I33 - /zy'
MAILING ADDRESS E-MAIL
ELECTRICAL ZAP Cltc-wrtNCc- ,ZD A/ St/are- 0
CONTRACTOR CITY STATE ZIP FAX
2/3c,c,t 4✓/1 4(60/7 (25'3 ) 73s - 0/13
WA STATE CONTRACTOR'S LICENSE# t0//(,//�c EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1 tz 5 W Ct�S L LJ l )9-17 (--xer ,cf-teKA B L
- --- -� - NAME PRIMARY PHONE
APPLICANT l Qt Sy i-c ti� (-^"'(S (Z-3'3 )(63 3 - /z `/(1
MAILING ADDRESS E-MAIL
C C_
CITY STATE ZIP FAX
t��� `l`d�`f7 (2s'3 )735 - s6/i3
NAME PRIMARY PHONE
PROJECT CONTACT
/1/7477- /4/(/A.44,,/ (t/7}' ) 75Z - 477q
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: Adair DATE
PRINT NAME: /1/14 ()/;1,1L p44//
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application