19-100866 / t a,
Electrical
City of Federal Way
Community Development Dept Permit . - - -E
r L0
33325 8th Ave S � _.w��,
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PEDIATRICS NORTHWEST
Project Address: 505 S 336TH ST Parcel Number:926480 0270
Project Description: Low voltage wiring for modifications to fire alarm system.
Owner Applicant Contractor
F S P FEDERAL WAY CORP JULES MAYERWESTERN STATES FIRE WESTERN STATES FIRE PROTECTION
401 EDGEWATER PL SUITE 200 PROTECTION (ELECTRICAL)
WAKEFIELD MA 01880-6207 14690 NE 95TH ST STE 101 WESTESF906P1(11/9/20)
REDMOND WA 98052 7102 180TH AVE NE SUITE A105
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.appiication3 Yes
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Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,22 February,2020
Permit Issued on Friday,February 22,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. / lctOwneroragent: '• : �' Date: 7- / ZZ
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THIS CARD IS TO REMAIN ON-SITE
CITYOA
Construction Inspection Record
way
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100866 00 Address: 585 S 336TH ST Unit 205
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.
0 UFER Ground(4295) 0 Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ID Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) Ei Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By ,/r Date 2-1/
El Final-Electrical(4055)
Approved
By �� Date‘-"if--/Y
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECE;V 7)
CITY OF 411A. FEB 2 2 2019 ELECTRICAL
Federal WayC►T1'OFFEDERALyygy PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER /q __ / 0 0 p 6 /A _ E
I r/ SUITE/UNIT/SPACE#
SITE ADDRESS: 505 S. 336th St 205/HALL
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1 $� o (a D 9264800270
PROJECT NAME PEDIATRICS NORTHWEST/HALLWAY
(Tenant or Homeowner Last Name)
Adding 7) audio/visual fire alarm notification devices and 11) fire alarm
PROJECT DESCRIPTION addressable initiating devices to existing FA system.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER RH Fountain Plaza Assoc LLC ( ) -
GADDRESS
505336th ST
CITY STATE ZIP FAX
Federal Way WA 98003
NWE PHONE
estern States Fire Protection ( 425 881 PRIMARY 0100
MAILING ADDRESS E-MAIL
ELECTRICAL 14690 NE 95th St Ste 101 jules.mayer@wsfp.us
CONTRACTOR CITY STATE ZIP FAX
Redmond WA 98052 ( 425) 881
- 0100
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
WESTESF906P1 12 31 19 19-99-106476-00-BL
NAME PRIMARY PHONE
Jules Mayer ( 425) 429 _ 4240
APPLICANT
MAIL>HNE 95th ST Ste 101 jules.mayer�«�wsfp.us
CITY Redmond WATE IP FAX
98052 ( 425) 881 - 3030
NAME PRIMARY PHONE
PROJECT CONTACT Jules Mayer ( 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 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 I� DATE 02/21/2019
PRINT ' IE: Jules Mayer
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application