17-102257City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 835-2609
- _ -- Electrical
Permit #:17 -102257 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: WEST CAMPUS SPORTS & ORTHOPEDIC
Project Address: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Low voltage wiring for the installation of fire alarm system in tenant space.
Owner
Applicant
Contractor
F S P FEDERAL WAY CORP
FIRE SYSTEMS WEST INC (ELECTRICAL)
FIRE SYSTEMS WEST INC
401 EDGEWATER PL SUITE 200
206 FRONTAGE RD N
(ELECTRICAL)
WAKEFIELD MA 01880-6207
PACIFIC WA 98047-1023
FIRESWI055LW (6/16/17)
206 FRO GE RD N
PAC A 98047-1023
AdditionalPermit Information
Is this an Online or O.T.C. application ............... Yes
I hereby certify that the
and the occupancy
Owner or agent:
PERMIT
iXPIREoWuesday,15 Na4W8
s� onday,l017
4correct
and tha*te'l'aws,
nstruction on the above described property
in accordance witrules and regulations of the State of
gton and the City of Federal Way.
Date: VA-
4,
THIS CARD IS TO REMAIN ON-SITE►
CM OF Construction Inspechon Record
Federal Way INSPECTION REQUESTS: (253) 835-3058
PERMIT #: 17102257 00 Address: 505 S 336TH ST Unit 140
Project: F S P FEDERAL WAY CORP 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.
7❑
UFER Ground (4295)
2
Ditch cover (4030)
Temporary Power (4275)
0
Slob/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
Date
By
Date
Q
Pool Bonding (4195)
®
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
Approved
By
Approved
By
Date
By
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)9❑
Final Electrical
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
%4 Date ro ( l
0 Final - Electrical (4055)
Approved
By Date
E]
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
c 1
CITY OF
Fed
eral Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
AD ESS: 605
S. 33612tSz-
4#1 PERMIT#: 1-7 - Io7.2'�'t
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IF YOU HAVE QUESTIONS CALL MA* (253) 835- RoI3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
011 (L� - 0,Cij(%44 WiVC-S ' •bJAA .l
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I�V,A Tktiacd Ov Pu. iM. weA IN Rewwve�i . -
IF YOU HAVE QUESTIONS CALL MA* (253) 835- RoI3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF
Federal Way
RECEIVED ELECTRICAL
MAY 15 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPME�14°!IT NUMBER _ C)a S _ 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 s h claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim a out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to ti 4it a part of this application.
SIGNATURE:
PRINT NAME:
05/15/2017
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter icityoffederal%viy.com
Bulletin #160 —April 14. 2016 Page I of 1 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE#
SITE ADDRESS: 505 S 336th S t
140
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
1,000.00
9 2 6 4 8 0_ 0 2 7 0
PROJECT NAME
(Tenant or Homeowner Last Name)
West Campus Sports & Orthopedic
Install new Fire Alarm power supply and notification
PROJECT DESCRIPTION
devices.
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
RH Fountain Plaza Assoc. LLC.
( ) -
MAILING ADDRESS
E-MAIL
PO Box 5003
CITY
Bellevue
STATEZIP
WA
98009
FAX
( ) _
NAME
PRIMARY PHONE
Fire Systems West, Inc.
(253)833 _1248
MAILING ADDRESS
E-MAIL
ELECTRICAL
206 Frontage Rd N, Suite -C
service@firesystemswest.com
CITY
Pacific
STATE
WA
I ZIP
98047
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FIRESWI055LW 06/16 / 17
19-87-000014-00-B
NAME
PRIMARY PHONE
Fire Systems West, Inc.
(253)833-1248
APPLICANT
MAILING ADDRESS
E-MAIL
206 Frontage Rd N, Suite -C
service@firesystemswest.com
CITY
Pacific
STATE
WA
ZIP
98047
FAX
( )
PROJECT CONTACT
NAME
Matt Carlman
PRIMARY PHONE
(253 951 -6005
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 s h claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim a out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to ti 4it a part of this application.
SIGNATURE:
PRINT NAME:
05/15/2017
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter icityoffederal%viy.com
Bulletin #160 —April 14. 2016 Page I of 1 k:\Handouts\Electrical Permit Application