13-101578r t
t ,3 , RM Ekdrical
City of Econ.Fedeal Dev. s Permit #: 13 -101578 -00 -EL
Community&Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 y p
R.+ Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2809 s
Project Name: BRIGHTON PARK LOT 17
Project Address: 36433 10TH CT SW Parcel Number: 111263 0170
Project Description: Installation of low -voltage security alarm.
Owner
Anolicant
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
PREMISC981P2 (10/22/14)
218 MAIN ST SUITE 564
KIRKLAND WA 98033-6108
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Monday, October 7, 2013
Permit Issued on Wednesday, April 10, 2013
I hereby certify that the above infqrgiation is cone d that the construction on the above described property and
the occupancy and the use in accord e e les and regulations of the State of Washington
o ral Way.
Owner or agent Date: 1� f® 11-3
Crrr of 14A
Federal Way
PERMIT #:
THIS CARD IS TOON-SITE
i Construction Insrecfi-on Record
INSPECTION REQUE3) 835-3050
13 -101578 -00 -EL Address: 36433 10TH CT SW
Project: 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.
❑
UFER Ground (4295)Ditch
cover (4030)
0
Slab/Concrete Floor (4 55)
0
Approved
■
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
6 Dat�i 2 C!-i<
❑
Rough Electrical
Approved
❑
Temporary Power (4275)
0
Service (4235)
■
Pool Bonding (4195)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
6 Dat�i 2 C!-i<
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
0" OF
Federal Way
PERMIT NUMBER 3 _ l () / 9 -7 � - 0 6
ELECTRICAL
PERMIT APPLICATION
RECEDED
APR 10 2013
S D - x,`33 i� C� 5 cis
IT/SPACE #
17
PROJECT VALUATION
ASSESSORS TAR/PARCEL #
CURRENT/PROPOSED USE
NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
Z-115 -'ic
MAILING ADDRESS
2,'):;3
E-MAIL
CITY
�jl
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
( PRIMARY PHONE
MAILING ADDRESS
215,;-
7CONTRACTOR
E -MAH.
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMAY PHONE
)
3WLING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
)
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 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 ci part of this applicati i.
SIGNATURE: L LDATE
PRINT NAME:
Bulletin # 160 -January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application