12-102763Electrical
ay
Communnitty & Econ. of Dv. Services Permit #: 12 -102763 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253
) 835-3050
Project Name: HEMSTREET
Project Address: 1533 SW 327TH ST Parcel Number: 010453 0420
Project Description: Installation of low -voltage security system.
Ownr
ARRIlican
Contractor
ALAN HEMSTREET
GUARDIAN SECURITY SYSTEMS
GUARDIAN SECURITY SYSTEMS
PO BOX 1385
(ELECTRICAL)
(ELECTRICAL)
ORTING WA 98360
1743 1ST AVE S
GUARDSS233K5 (9/30/12)
SEATTLE WA 98134
1743 1ST AVE S
SEATTLE WA 98134
Additional P#
Is Use Educational or Institutional? ....................... No
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Sunday,
Permit Issued on Tuesdai
I hereby certify that the above information
the occupancy and the use will be in aco
Owner or agent:
►4
ember 12
June I X_
fecMn at th on ion on the above described property and
�►'i a laws, d regulations of the State of Washington
Re ty
ofFede Y.
�✓ Date:
CITY OF lozi- '7
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -102763 -00 -EL Address: 1533 SW 327TH ST
ALAN HEMSTREET FEDERAL WAY, WA 98023-6407
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
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
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)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
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
RECENED
K A a zm
CITY OF 114
Federate oa�p RA►-WA1ELECTRICAL
co PERMIT APPLICATION
**Most electrical erinats may be obtained on-line at
ca o edelalwa coin
SITE ADDRESS: 5 33 S, w 3 Z-j+tom S T �7
CURRENT/PROPOSED USE
SUITE/UNIT/SPACE ASSESSOR'S TAX/PARCEL #
PROJECT NAME
(Tenant or Homeowner Last Name) H M STCZ
/ru 5 -Ti-:) L L
PROJECT DESCRIPTION 0Yt i u 1 -T
Detailed description of work to
be included on this permit only
NAME
PROPERTY OWNER �L(alV K
MADdNG ADDRESS
1E-T2'iSIoErUT
5, ,,1Z 0 _TTCn l
(f) ..S F C- v
SS
__....._
PRIMARY PHONE
-T12--T (3W)9�:1-7- 9Z(o`7
E-MAIL
NAME
PROJECT CONTACT I f7) A w &
FAX
PRIMARY PHONE
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE #
k£
PRIMARY PHONE
( ZC:L ) �ZZ) L 1
E-MAIL
FAX
.3-// - :?9 ZJE
PRIMARY PHONE
70(c) (00Z - &S -q6 -G'>1 Z(,Z
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
an 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 a part of this application.
SIGNATURE: DATE.�
PRINT NAME: -T2ViC1 Ac4/gM
33325 80, Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 wwu.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
p_ - l 3 c3
CITY f�7
CD 2 T . Y\-) v Q, 3
NAME _
MAILING ADDRESS
ELECTRICAL
1743 FIRST
CONTRACTOR
CITY STATE ZIP
in k . `f
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
NAME
APPLICANT
MAILING ADDRESS
i q3 F-tfzAV�.�rti�U
CITY
STATE
I ZIP
C� ;-_ A ll 1- L.
I LL,
-7>Li
NAME
PROJECT CONTACT I f7) A w &
FAX
PRIMARY PHONE
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE #
k£
PRIMARY PHONE
( ZC:L ) �ZZ) L 1
E-MAIL
FAX
.3-// - :?9 ZJE
PRIMARY PHONE
70(c) (00Z - &S -q6 -G'>1 Z(,Z
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
an 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 a part of this application.
SIGNATURE: DATE.�
PRINT NAME: -T2ViC1 Ac4/gM
33325 80, Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 wwu.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application