18-102870a
City of Federal way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98103
Ph: (253) 8352607 Fax (263) 8352609
Project Name: MATTRESS FIRM
Project Address: 1413 S 348TH ST
Electrical
Permit #:18 -102870 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 185295 0090
Project Description: Add (7) new notification devices for associated tenant improvement
Owner
Applicant
Contractor
FEDERAL WAY CROSSINGS
FIRE SYSTEMS WEST INC (GEND AL)
FIRE SYSTEMS WEST INC
10655 NE 4TH ST SUITE 700
2% FRONTAGE RD N
(ELECTRICAL)
BELLEVUE WA 98004
PACIFIC WA 98047-1023
FIItESWI055LW (6/16/19)
206 FRONTAGE RD N
PACIFIC WA 98047-1023
PERMIT EXPIRES Saturday, 29 June, 2019
Permit Issued on Friday, June 29, 2018
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
r/ Washington and the City of Federal Way.
Owner or agent:Date:
CRY OF
Federal Way
PERAM #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
18102870 00
FEDERAL WAY CROSSINGS
Address: 1413 S 348TH ST Unit L-104
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.
®
UFER Ground (4295)
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
n
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
0V" Date ':� -14�1�'
1tt Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date IBY Date
CITY OFP.tl
Federal Way
RECEIVE® ELECTRICAL
JUN 2 9 2018 PERMIT APPLICATION
CITY OF COMUNTf DEVELOPMENT
PERMIT NUMBER ( F _ 10 2-9 _ 00
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of
my knowledge, the information submitted in support of this permit application is true and correct. I cert{fy 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 clairr4, 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
ir{formation supplied to the city as apart of this application.
SIGNATURE: �' DATE 6/29/18
PRINT NAME: Alex Kawalec
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE @
SITE ADDRESS: 1413 S 348th St
104
PROJECT VALUATION
$4,500
ASSESSOR'S TAR/PARCEL 9 185295-0090
_
CURRENT/PROPOSED USE
PROJECT NAME
Mattress Firm
(Tenant or Homeowner Last Name)
Demo existing Fire Alarm notification devices, add 7 new notification devices for
Tenant improvement.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
Federal Way Crossings
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME Fire Systems West
( PHONE
253) P833Y 1248
MAUdNGADD' 206 Frontage Rd N
Am
AIexK firesM emswest.c i
@ Y
ELECTRICAL
CITY Pacific
STATE
WA
ZIP
98047
FAX
( 253 ) 735 - 0113
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE B EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 8
FIRESWI055LW 12/31 X18
'19 -87 -000014 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
Alex Kawalec
( 253) 833 - 1248
MAMING ADDRESS
E-MAM
206 Frontage Rd N
AIexK@firesystemswest.c
CITY
Pacific
STATE
WA
ZIP
98047
FAX
( 253 ) 735 - 0113
PROJECT CONTACT
NAME
Alex Kawalec
PRIMARY PHONE
( 253-) 778 - 8165
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of
my knowledge, the information submitted in support of this permit application is true and correct. I cert{fy 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 clairr4, 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
ir{formation supplied to the city as apart of this application.
SIGNATURE: �' DATE 6/29/18
PRINT NAME: Alex Kawalec
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application