13-100534 RECEIVED
Ni. ELECTRICAL
CITY OF FEB 0 4 2013
Federal WayPERMIT APPLICATION
C1'IY OF FEDERAL WAY
CAC
PERMIT NUMBER /3 _ / 1 U
S 3 y - /
SUITE/UNIT/SPACE#
SITE ADDRESS: 34709 9TH AVE S,BDLG A,FEDERAL WAY,WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
2,600 9 2 6 4 8 0 - 0 0 1 5
PROJECT NAME
(Tenant or Homeowner Last Name) WEST CAMPUS 5 AES RADIO
THE SCOPE OF THIS PROJECT IS TO REPLACE THE EXISTING STU WITH AN
AES RADIO.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER CCD ENTERPRISES ( ) _
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
SMITH FIRE SYSTEMS MANAGEMENT ( ) 253-248-2004
MAILING ADDRESS E-MAIL
ELECTRICAL 1106 54TH AVE E SJERKE@SMITHFIRE.COM
CONTRACTOR CITY STATE ZIP FAX
TACOMA WA 98424 ( ) 253-92.6-0726
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SMITHFS946LO 6 / 20 /14 200610470900BL
NAME PRIMARY PHONE
APPLICANT SMITH FIRE SYSTEMS MANAGEMENT ( ) 253-248-2004
MAILING ADDRESS E-MAIL
1106 54TH AVE E SJERKE@SMITHFIRE.COM
CITY STATE ZIP FAX
TACOMA WA 98424 ( ) 253-926-0726
NAME PRIMARY PHONE
PROJECT CONTACT SCOTT JERKE ( ) 253-248-2004
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 arty 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 rt of this applicatio
SIGNATURE: G L DATE 2/4/13
PRINT NAME: SCOTT JERKE
Bulletin#160—January 1,2013 Page 1 of 2 k:\HandoutsTlectrical Permit Application
1< �
Electrical
City of FedeCommunity & Econ. Way
Community Permit #: 13 -100534 -00 -EL
33325 8th Ave S ' L-7
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2609
Project Name: WEST CAMPUS BUSINESS PARK
Project Address: 34709 9TH AVE S Parcel Number: 926480 0015
Project Description: Low -voltage wiring to eplace existing telephonic alarm system with wireless AES.
PERMIT EXPIRES
Permit Issued on II
I hereby certify that the above information is correct
the occupancy and the use will be in aWrda9r&A
Owner or agent:
7yor lailort
Is Use Educational or Institut' al? ..................No
the
st 12013
4, 3
off on the above described property and
regulations of the State of Washington
Date:
�k
\:, L) :1 � (1)
Owne
ARRIlicant
Contractor
CCD ENTERPRISES
SMITH FIRE SYSTEMS INC
SMITH FIRE SYSTEMS INC
11630 SLATER AVE NE SUITE 5
1106 54TH AVE E
SM rHFS136OT (11/2/14)
KIRKLAND WA 98034
TACOMA WA 98424
1106 54TH AVE E
TACOMA WA 98424
PERMIT EXPIRES
Permit Issued on II
I hereby certify that the above information is correct
the occupancy and the use will be in aWrda9r&A
Owner or agent:
7yor lailort
Is Use Educational or Institut' al? ..................No
the
st 12013
4, 3
off on the above described property and
regulations of the State of Washington
Date:
�k
\:, L) :1 � (1)
1 �
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -100534 -00 -EL Address: 34709 9TH AVE S
CCD ENTERPRISES FEDERAL WAY, WA 98003-8722
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.
Final - Electrical (4055)
Approved
By Date
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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 - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date