19-103842 t r r
Electrical
City of Federal Way Permit #:19-103842-00-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: FEDERAL WAY CROSSINGS BUILDING G
Project Address: 35105 ENCHANTED PKWY S Parcel Number: 185295 0040
Project Description: Low-voltage wiring for AES radio.
Owner Applicant Contractor
FEDERAL WAY CROSSINGS MATT CARLMANFIRE SYSTEMS WEST FIRE SYSTEMS WEST INC
10655 NE 4TH ST SUITE 700 INC (ELECTRICAL)
BELLEVUE WA 98004 206 FRONTAGE RDN SUITE C FIRESWI055LW(6/16/21)
PACIFIC WA 98047 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
:44 ks 'Cx
,P,4",V.‘�a ;� J -
ii& THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103842 00 Address: 35105 ENCHANTED PKWY S
Project: FEDERAL WAY CROSSINGS FEDERAL WAY WA 98003-8379
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) Q Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By e'le Date ?"—/F/7
El Rough Electrical 0 Final Electrical D Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF : - 09 2019 ELECTRICAL
AUG
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER J/ 9 — f S V V / _
111 SUITE/UNIT/SSPACE#
SITE ADDRESS: 35105 Enchanted Pkwy
PROJECT VALUATION ASSESSOR'S TAX/PARCE # CURRENT/PROPOSED USE
$ 150 . 00 /- S 5 q s• - 0 0 q V'
PROJECT NAME Federal WayCrossings Bldg. G
(Tenant or Homeowner Last Name) g
Install new AES Radio for Fire Alarm Monitoring.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME `w C
► c)s� I,/l ( ) PRIMARY PHONE
PROPERTY OWNER -
MAILING ADDRESS t E-MAIL
())4L C\1 e
CITY STATE ZIP FAX
l )
NAME PRIMARY PHONE
Fire Systems West, Inc . (253 ) 833 - 1248
MAILING ADDRESS E-MAIL
ELECTRICAL 206 Frontage Rd N, Suite-C service@firesystemswestcom
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 6 / 30 /19 19-87-000014-00-BL
NAME PRIMARY PHONE
Fire Systems West, Inc . (253 ) 833 . 1248
APPLICANT MAILING ADDRESS E-MAIL
206 Frontage Rd N, Suite-C servicerfiresystemswest com
CITY STATE ZIP FAX
Pacific WA 98047
NAME PRIMARY PHONE
PROJECT CONTACT Matt Carlman (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 such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises o t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a art of this application.
SIGNATURE: DATE 8/2/2019
PRINT NAME: Matt Carima
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@rityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application