19-101884 ,
Electrical
City of Federal Way Permit #:19-101884-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph'(253)835-2607 Fax:(253)835-2609
Project Name: FAMILY LIFE CHRISTIAN CENTER
Project Address: 1925 S 341ST PL Parcel Number: 390380 0050
Project Description: Low voltage wiring to add(1)notification appliance for the purpose of tenant improvement.
Owner Applicant Contractor
EVELYN CASTELLAR FIRE SYSTEMS WEST INC(ELECTRICAL) FIRE SYSTEMS WEST INC
32517 39TH PL SW 206 FRONTAGE RD N (ELECTRICAL)
FEDERAL WAY WA PACIFIC WA 98047-1023 FIRESWI055LW(6/16/19)
98023-2647 206 FRONTAGE RD N
PACIFIC WA 98047-1023
,
Additional Permit Information
Is this an Online or O.T.C.application? Yes
°. ,. ;'= �; ° �" Fii lalir � ... ;`xx
°
-n :,„ z ..T .As tc � l . ; " w � u4::,
ERMI EXPIRES Saturday, 18 April,2020
Perm t Issued on Friday,April 19,2019
I hereby certify th-t the =bove inf. mati', ' correct and that the construction on the above described property
and the occup ncy -nd the us- wi in accordance with the laws, rules and regulations f the State of
.ton and the City of Federal Way.
iii
• /9 (
c
' Owner or agent: I 11 1 , Date: I
I
ir
rf 'In,vul
THIS CARD IS TO REMAIN ON-SITE
"�� Construction Inspection Record . . .
FeClera.Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101884 00 Address: 1925 S 341ST PL
Project: JOSE CASTELLAR FEDERAL WAY WA 98003-6006
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.
O UFER Ground(4295) 2❑ Ditch cover(4030) 1'0 Slab/Concrete Floor(4255)
Approved Approved I Approved to place concrete
By Date By Date `By Date
„
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
ED Final-Electrical(4055)
By %e, Approved
Datei9 5'r'J/
O Rough Electrical 0 Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
APR 19 2019 ELECTRICAL
CITY OF A.
Federal Way COM UNITFrDEv OPMEM' PERMIT APPLICATION
PERMIT NUMBER ( / _ / 6 / % _ G
SUITE/UNIT/SPACE M
SITE ADDRESS: 1925 South 341st Place, Federal Way WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i} CURRENT/PROPOSED USE
1,557.00 390380-0050 _ Church
PROJECT NAME
(Tenant or Homeowner Last Name)
Remove 2 notification appliances and add 1 notification appliance for the purpose
PROJECT DESCRIPTION of tenant improvement.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Kit's Corner Business Park ( 253 ) 838 - 3275
MAILING ADDRESS E-MAIL
1925 S. 341st Place
CITY STATE ZIP FAX
Federal Way WA 98003
NAME PRIMARY PHONE
Fire Systems West, Inc. (253 ) 833 - 1248
MAILING ADDRESS E-MAIL
ELECTRICAL 206 Frontage Rd. N, Suite C
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047 (253 ) 735 _ 0113
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
FIRESWI055LW 6 16 / 2019 19-87-000014-00-BL
NAME PRIMARY PHONE
Rodrigo Quinteros ( 253 ) 833 _ 1248
APPLICANT MAILING ADDRESS I-MAIL
206 Frontage Rd. N, Suite C rodrigoq@firesystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047 (253 ) 735 _ 0113
NAME PRIMARY PHONE
PROJECT CONTACT Rodrigo QUinteros ( 253 ) 833 - 1248
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:n support of this permit application is true and correct.I certify that I will comply with all
applicable City of Federal Way regulation pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit do-- no. remove - owner's responsibility for compliance with local, state, or federal laws regulating
construction or environme •1 laws.
I further agree to hold armless e City F-• al Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and def nse of such laim) ich may be made by any person, including the undersigned, and filed against the city,
but only where such c •int arises o of - reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e city as a •%p • s application.
SIGNATURE: - DATE 4/17/2019
PRINT NAME: Rodrig. Quint- os
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentel{n?cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application