13-103593r
R
AR12lican
City of Federal Way
Community & Econ. Dev. Services
LATITUDE CONDO ASSOCIATION
33325 8th Ave S
FILE
Federal Way, WA 98003
107 WASHINGTON BLVD
Ph: (253) 835-2607 Fax (253) 835-2609
FEDERAL WAY WA 98063
Project Name: LATITUDE CONDOMINIUMS BLDGq,K,R
Project Address: 33020 10TH AVE SW
'Electrical
Permit #: 13 -103593 -00 -EL
Project Description: Install wireless transmitter to existing fire alarm panel
Inspection Request Line: (253) 835-3050
Parcel Number: 420500 0000
Owner
AR12lican
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: .SAA %n nl iiratinn Date:
:AU6 2 0,REO
F�NALED
THIS CARD ISTO MAIN ON-SITE
"T~o Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103593 -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)Service
Slab/Concrete Floor (4255)
Approved
(4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)Service
Right of Way
Approved
(4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - ctrical (4055)
Approved
C:
Date_
!�z
___
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
EftCTRICAL ,
Federal Way PERPIETIMPLICATION
PERMIT NUffiSER _ AUG 15 2013
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SITE ADDRESS: �3a ( 0_V,_ X t S W 1�� ' �G-
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PROJECT VALUATION
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Of,
ASSESSOR'S TAX/PARCEL #
_
/ POSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
S
PRIIIARY PHONE
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7gDDRESS
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E-IdAD.
CSTATE
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ZIP
FAX
PRIMARY PHONE
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ADDRESS
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E•MAII.ELECTRICAL
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STATE
W
W91_8061
FAX
(aS31 3 - ,� G
CONTRACTOR
WAST CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY SUSDWS LICENSE #
APPLICANT
NAME
re
(ate) � �
S 7,E- -MAD.
MAD.HNO ADDRESS
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CITY
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FAX
(a53 )�53 `t i -)(:,
PROJECT CONTACT
NAME I
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PRIMARY PHONE
(ads) ��T- (p 1
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner, I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I certVy that I will comply with
all 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 envi tal laws.
I further ag hold ess the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investig and def of such claiml, which may be made by any person, including the undersigned, and filed against the city,
but 9 such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
in{fortnation plied to city as a part f this oppiication l
SIGNATURE: DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application