19-100478City of Federal Wry
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: WA STATE GAMBLING COMMISSION
Project Address: 501 S 336TH ST
Project Description: Low -voltage wiring for fire alarm system.
Eleetrical
Permit #• 19 -100478 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0240
Owner
Applicant
Contractor
ROSEN PROPERTIES
WESTERN STATES FIRE PROTECTION
WESTERN STATES FIRE PROTECTION
ROSEN PROPERTIES
(ELECTRICAL)
(ELECTRICAL)
1800 12TH AVE NE SUITE 312-E
7102 180TH AVE NE SUITE Al 05
WESTESF906PI (11/9/20)
BELLEVUE WA 98005
REDMOND WA 98052
7102 180TH AVE NE SUITE A105
REDMOND WA 98052
Additional, Permit Information
Is this an Online or O.T.C. application? .................. Yes
Low Voltage - Fire Alarm (Co.
PERMIT EXPIRES Thursday, 30 January, 2020
Permit Issued on Wednesday, January 30, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the o upa cy and the use will be in accordance with the laws, rules and regulations of the State of
t- Washington and the City of Federal Way.
Owner or agent: Date: 36 ' _
r.--)/1GL)
CRY or 14&
Federal Way
PERMIT #: 19100478 00
THIS CARD IS TO REMAIN ON-SITE 1
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 501 S 336TH ST Suite 204
Project: ROSEN PROPERTIES FEDERAL WAY WA 98003-6328
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
ossible(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your inspcdor if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this cart.
011
UFER Ground (4295)
®
Ditch cover (4030)
FAI
Slab/Concrete Floor (4255)
By Date
Approved
1,13Y
Approved
]BY
By Date
Approved to place concrete
By
Date
Date C� —
Date
By
Date
® Pool Bonding (4195)
® Temporary Power (4275)
® Service (4235)
Approved
Approved
Approved
IBY
By Date
By Date
Date
Feeders/Sub-panels (4045)
®
Rough Electrical (422
D
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date C� —
0 Final - Electrical (4055)
Approved q
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITYF
0 'A
Federal Way
RECEIVED
JAN 3 0 2019
COM UTY Nf1Y DEV 0 MENT
PERMIT NUMBER —13– _ 1P— /'y 4— 3 _ E f
ELECTRICAL
PERMIT APPLICATION
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 ertvironmenta! 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 01/28/2019
PRINT N ules Mayer
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\14andouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS: 501 S. 336th St
240
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 490"0— Z 1l0 0
9264800240 _
PROJECT NAME
(Tenant or Homeowner Last Name)
WA State Gambling Commision
Adding 7) audio/visual fire alarm notification devices and 11) fire alarm
addressable initiating devices to existing FA system.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
RH Fountain Plaza Assoc LLC
PRIMARY PHONE
_
MADdNG ADDRESS
501 S 336th St
E-MAIL
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
_
NAME
Western States Fire Protection
PRIMARY PHONE
( 425) 881 _ 0100
ELECTRICAL
MAD.ING ADDRESS
14690 NE 95th St ste 101
E-MAIL
jules.mayer@wsfp.us
CITY
Redmond
STATE
WA
ZIP
98052
FAX
( 425) 881 _ 3030
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
WESTESF906P1 12 31 19
FEDERAL WAY BUSINESS LICENSE #
19 -99 -106476 -00 -BL
NAME
Jules Mayer
PRIMARY PHONE
(425)- 429 _ 4240
APPLICANT
MAILING
14690 NE 95th St Ste 101
ules.maye(rwsfp.us
CITY
Redmond
STATEZIP
WA
98052
FAX
-
PROJECT CONTACT
NAME
Jules Mayer
PRIMARY PHONE
425) 429 _ 4240
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 ertvironmenta! 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 01/28/2019
PRINT N ules Mayer
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\14andouts\Electrical Permit Application