18-104915City of Federal Way
Comm--ity Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
Project Name: FRANCISCAN HEART & VASCULAR ASSOCIATES
Project Address: 34509 9TH AVE S
Project Description: Low voltage wiring for fire alarm system.
Electrical
Permit #:18 -104915 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 75045100 10
Owner
Applicant
Contractor
FRANCISCAN HEALTH SYSTEM
DESIREE FORQUIGNONGUARDIAN
GUARDIAN SECURITY SYSTEMS
34515 9TH AVE S
SECURITY SYSTEMS
(ELECTRICAL)
FEDERAL WAY WA 98003
1743 IST AVE S
GUARDSS233K5 (9/30/20)
SEATTLE WA 98134
1743 1 ST AVE S
SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Low Voltage - Fire Alarm (Co l
PERMIT EXPIRES Friday, 18 October, 2019
Permit Issued on Thursday, October 18, 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
Washington and the City of Federal Way.
Owner or agent: Date:Mlo(n
emr or 1�r
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction
u�s�t�nResord
INSPECTION REQUESTS:
PERMIT #: 1810491500 Address: 34509 9TH AVE S Unit 304
Project: FRANCISCAN HEALTH SYSTEM FEDERAL WAY WA 98003-6700
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD
(read left toriInspections are listed as close to sequential order as possible
right, top to bottom) . Please schedule inspections as appropriate. Wait 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.
LJ
UFER Ground (4295)
Approved
By
Date
®
Pool Bonding (4195)
rByFinal
Approved
By
Date
LJ
Feeders/Sub-panels (4045)
Approved
By
Date
- Electrical (4055)
rByFinal
Approved
Date
1
Ditch cover (4030)
Approved
Date
Temporary Power (4275)
Approved
Date
LJ Rough Electrical (4225)
Approved
By Date
LJ Slab/Concrete Floor (4255)
Approval to place concrete
By Date
Service (4235)
Approved
Date
LJ Ceiling Cover (4020)
Approved
By Date
(]
RoughApproved
rival Final Electrical Right of Way
Approval Approved
[BY Date By Date
BY Date
/40, 1
CITY OF
Federal Way
RECEIVED ELEC'T'RICAL
OCT 18 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER
SITE ADDRESS: (`,1 � ��e •L � j1A r„�,����
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SUITE/UNIT/SPACE #
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PROJECT VALUATION
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TAX/PARCEL #
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
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NAME
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PRIMARY PHONE
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MAILING ADDRESS`�st(A\
E-MAIL
STA E
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FAX
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NAME _
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
E-MAIL
CITY
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SIZATE
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FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
-
APPLIC !NT
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NAME
PRIMARY PHONE
MAILING ADORES
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E-MAIL
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STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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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 claim4 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 a part of this application.
SIGNATURE:
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