13-100778City of federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BRIGHTON PARK LqT 18
Project Address: 36437 10TH CT SW
Project Description: Installation of low -voltage security alarm system.
Electrical
Permit #: 13 -100778 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 111263 0180
Owner
Al2RIican
Contractor
NORRIS HOMES INC
PREMIER SOUND & COMMUNICATION INC
PREMIER SOUND & COMMUNICATION
2053 FABEN DR
218 MAIN ST SUITE 564
INC
MERCER ISLAND WA 98040
KIRKLAND WA 98033-6108
PREMISC9811`2 (10/22/14)
218 MAIN ST SUITE 564
KIRKLAND WA 98033-6108
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, August 18, 2013
Permit Issued on Tuesday, February 19, 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 i e in accordance h the la ules and regulations of the State of Washington
and City d ay. JJ
Owner or agent: Date: .� �/ `� (, 3
t
CITY of
Federal Way
PERMIT #:
Project:
• `THIS CARD IS TOAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100778 -00 -EL Address: 36437 10TH CT SW
NORRIS HOMES INC FEDERAL WAY, WA 98023
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.
Pool Bonding (4195)
Approved
By Date
0 Temporary Power (4275)
Approved
By Date
Service (4235)
Approved
By Date
LIFER Ground (4295)
Ditch cover (4030)
Rough Electrical (4225)
Slab/Concrete Floor (4255)
Ceiling Cover (4020)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
0 Temporary Power (4275)
Approved
By Date
Service (4235)
Approved
By Date
11 Final - Electrical (4055)
Approved
By Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Right of Way
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
RECEIVED
FB 19 2013
t I
EL CTRI CAL
PERMIT APPLICATION
PERMIT NUMBER -3 rt
F �%W lJ1_ () 6
SITE ADDRESS: 36112 7 /4� G' r .5GC_,2
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAB/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
/�/O/2s2 G � S
PRIMARY PHONE
L 41 z5 I - iso Z
MAILING ADDRESS
E-MAIL
nCIITTY
SATA�TE
Z[P
/ FAX
ELECTRICAL
CONTRACTOR
NAME
T1"J PRIMARY PHONE
/
MAILING ADDRESS
21&
EMAIL
CITY
�.�i� •rJl7
STATE
W4
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
,.12
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
NAILING ADDRESS
EMAIL
CITY
STATE
ZIP
(/ FAX
l
PROJECT CONTACT
NAME
PRIMARY 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 1 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 g part of this applicatipm />
SIGNATURE:
PRINT NAME:
Bulletin #160 -January 1, 2013 Page 1 of k:Uiandouts\Electrical Permit Application