18-101615City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 835-2609
' Eleetrical
Permit #:18 -101615 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ARCO FACILITY - PACIFIC HIGHWAY
Project Address: 35505 PACIFIC HWY S Parcel Number: 292104 9127
Project Description: Electrical for installation of fire alarm system for new service station being constructed.
Owner
Applicant
Contractor
TRIPLE B PAC HWY INC
ALARM CENTER INC
ALARM CENTER INC (DBA ACE FIRE &
3817 S 377TH ST
PO BOX 3407
SECURITY)
FEDERAL WAY WA 98001
LACEY WA 98509
ALARMCI055CW (2/1619)
PO BOX 3407
LACEY WA 98509-3407
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Tuesday, 16 April, 2019
Permit Issued on Monday, April 16, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy nd the use will be in accordance with the laws, rules and regulations of the State of
Was 'ngton and the City of Federal Way.
Owner or agent: Date:
cMr. a
Federal Way
PERMIT ##:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: ,(253) 835-3050
18101615 00
TRIPLE B PAC HWY INC
Address: 35505 PACIFIC HWY S
FEDERAL WAY WA 98003
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.
El
UFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date — $'
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date
CITY OF VA
Federal Way
RECEIVED
APR 16 2018 ELECTRICAL
AY
COM UNNTryDEOF VELOPMEwr PERMIT APPLICATION
PERMIT NUMBER 1 9 _ I V I � 1 5 _ E- L-
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 city as apart of this application.
SIGNATURE: V- DATE
PRINT NAME: J TIN FIESS
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE#
SITE ADDRESS: 35505 PACIFIC HIGHWAY, FEDERAL WAY, 98003
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
1000- C) O
2 9 2 1 0 4- 9 1 2 7
PROJECT NAME
(Tenant or Homeowner Last Name)
TRIPLE B PACIFIC HIGHWAY 8
INSTALLATION OF FIRE ALARM SYSTEM FOR NEW SERVICE STATION BEING
CONSTRUCTED.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
TRIPLE B PAC HWY INC
( 206) 455 - 4776
MAILING ADDRESS
E-MAIL
3817 S 377TH ST
CITY
STATEZIP
FAX
FEDERAL WAY
WA
98001
( ) -
NAME
PRIMARY PHONE
ALARM CENTER INC
( 800 ) 354 - 1555
MAILING ADDRESS
E-MAIL
ELECTRICAL
PO BOX 3407
justin@alarmcenterinc.com
CONTRACTOR
CITY
STATE
ZIP
FAX
LACEY
WA
98509
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
ALARMC1055CW 02/ 16 / 19
20 -00 -101452 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
SAME AS ABOVE
( 800 ) 354 - 1555
MAILING ADDRESS
E -MAD.
SAME AS ABOVE
SAME AS ABOVE
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
JUSTIN FIESS
PRIMARY PHONE
( 800) 354 - 1555
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 city as apart of this application.
SIGNATURE: V- DATE
PRINT NAME: J TIN FIESS
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application