13-103596• Fectsical
CitFederal Way Permit #. 13-1035(96-00-E L
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 FILEInspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LATITUDE CONDOMINIUMS BLDGS W&Y,Z
Project Address: 33020 10TH AVE SW Parcel Number: 420500 0000
Project Description: Install wireless transmitter to existing fire alarm panel
Owner
A lic n
Contractor
LATITUDE CONDO ASSOCIATION
FIRE ONE INC
FIRE ONE INC
PO BOX 4508
107 WASHINGTON BLVD
FIREOI*099KW (5/20/15)
FEDERAL WAY WA 98063
ALGONA WA 98001
107 WASHINGTON BLVD
ALGONA WA 98001
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, February 16, 2014
Permit Issued on Tuesday, August 20, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
AUG 20 ;HD
IFIN'" en
cirr of THIS CARD IS TO MAIN ON-SITE •+ +
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103596 -00 -EL Address: 33020 10TH AVE SW
Project: LATITUDE CONDO ASSOCIATION 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.
0
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
y Date [o —
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
0
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
y Date [o —
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
� 4
CITY OF
Federal Way
EftCTRICAL
PERMIT APPLICATION
RECEIVED
AUG 152013
SITE ADDRESS: c�� S 1`�.� GIC CDS
2
/UNIT/SPACE i
`, Z -
f
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 0f, � i
-
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
LA
PRIMARY PHONE
039 3
PROPERTY OWNER
S
G ADDRESS
E-MAII.
STATE
MPP
FAX
PRIMARY PHONE
ADDRESSELECTRICAL
M-W
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CITY
l
STATE
A,
(as3) FAX
CONTRACTOR
WA -UCONTRACTOR'S LICENSE 9 ERPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE k
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cel
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NAME -
arc
PRIMARY PHONE
(� )5� d3
APPLICANT
MAIIING ADDRESS
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E-MAIL
c
C11-r-ILJA
ATE
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FAX
(a 3 )-)53 `(� b
PROJECT CONTACT
NAMl
t
PRIMARY PHONE
(o7c�b) "-s- - O
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I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certgy that to the best
of my knowledge, the injbrmation submitted in support of this permit application is true and correct. I ceitVy that I will comply with
ail applicable City of Federal Way regulations pertaining to the work authorised 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 en tai laws
I further ag holdrmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the innestig and def of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only w such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied to city as apart f this application
G`..r— DATE
SIGNATURE: `
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application