13-103591tL C14 of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
'FILE
Project Name: LATITUDE CONDOMINIUMS BLDGS
Project Address: 33020 10TH AVE SW
Electrical
Permit #: 13 -103591 -00 -EL
Project Description: Install wireless transmitter to existing fire alarm panel
Inspection Request Line: (253) 835-3050
Parcel Number: 420500 0000
Owner
ARRlican
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 (Commt 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
See APIAd'NO'Yal Way.
Owner or agent: Date:
AUG 2 0 RECD
1 cr
_ THIS CARD IS TO MAIN ON-SITE
CITY of
Federal Wa Construction In ection Record
y INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103591 -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.
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
pproved
Date _ U
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
❑
LIFER Ground (4295)
❑
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]Right
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
pproved
Date _ U
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
❑
Pool Bonding (4195)
Temporary Power (4275)
E]Right
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
pproved
Date _ U
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
❑
Rough Electrical
Approved
Final Electrical
Approved
E]Right
of Way
Approved
By
Date
By
Date
By
Date
EftCTRICAL
Cf
Federal Way PERMIT RKEW MCATION
AUG 15 2013
— — — — — — — CITY OF FEDERAL WAY
me
-2
SITE ADDRESS: Jam 5
SUITE/UNIT/SPACE i
1�1� 61; H 1
PROJECT VALUATION
Cf,S 4
ASSESSOR'S TAX/PARCEL #
-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Q
L. i
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
S
PRDtARY PRONE
Q'S3 )1 i - 0393
7G ADDRE88
�
E-MAU.
C
TATE
N �
ZIP
FAX
NAME
PRIMARY PHONE
b-30
rnG ADDRESS
1 V F hti
E-MAIL
ELECTRICAL
CITY
ter.,
STATE
w k
ZIP
FAX
3 - `�
CONTRACTOR
WA$T CONTRACTOR'S LICENSE B EXPIRATION DATE
FEDERAL WAY BUSrnE88 LICENSE M
,J 43 L
APPLICANT
NAME ,
re
HONE
(ate) �
S /JE -MAIL
MAILING ADDRESS
CI� STATE
W A
ZIP
C► ��n\
FAR
(a� )-753- 1
PROJECT CONTACT
NAME I
G M l�•�e
PRIMARY PHONE
(DL �-� - O
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(jy 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 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 9r envi tal laws.
I further ag , hold less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investig and def of such ciairM, which may be made by any person, including the undersigned, and filed against the city,
A
ut only w such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information plied bot city as a part f this application 1.
SIGNATURE: DATE
PRINT NAME: I G M �� t
Bulletin #160 —January 1, 2013 Page 1 of 2 Uliandouts0ectrical Permit Application