18-104914 -
Electrical
City of Federal Way Permit #:18-104914-00-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: CROSSPOINTE APARTMENTS
Project Address: 35810 16TH AVE S Parcel Number:282104 9070
Project Description: Low voltage wiring for fire alarm system.
•
Owner Applicant Contractor
CROSSPOINTE APARTMENTS GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS
35810 16TH AVE S (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98003 1743 1ST AVE S GUARDSS233K5(9/30/20)
SEATTLE WA 98134 1743 1ST AVE S
SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C.application Yes
Low Voltage-Fire Alarm(Co: 1
PERMIT EXPIRES Friday,18 October,2019
Permit Issued on Thursday,October 18,2018
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.
Owner or agent: QpR 1 1 �I � Date: kv
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THIS CARD IS TO REMAIN ON-SITE
Fectera•Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104914 00 Address: 35810 16TH AVE S Bldg G
Project: CROSSPOINTE APARTMENTS FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
(read left to right,top to bottom). Please schedule Inspections u are listed as close to sequential order asp possible
you are unsure about of the inspectionsinspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
Y or the inspection sequence. On-going inspections are logged on the back of this card.
0 UFER Ground(4295) Q Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Above Approved
Approved to place concrete
BY Date By Date
BY Date
® Pool Bonding(4195) 0 Temporary Power(4275) Q Service(4235)
Approved Approved
Approved
BY Date By Date
By Date
0Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved
Approved
BY Date By Date
BY Date
1U Final-Electrical(4055)
Approved
BY Date 7:714
0 RoughElectrical0 Final Electrical ID Right of Way
Aed Approved Approved
BY Date By Date
BY Date
ilk, RECEIVED ELECTRICAL
CITY OF 1011111
Federal Way OCT 18 2018 PERMIT APPLICATION
CITY OF WAY
COMMUNITY DEVELOPMENT gl
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SUITE/UNIT/SPACE#
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# L7L� CURRE /PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) YJ co.x\ * c e 3
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �GY ue .f>al . Nt�( )(.QLQ I--D!
MAILIN ADDRESS E-MAIL
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CITY STATE ZIP FAX
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V.cAN"^ ,1 r,S^^[n PRIMARY PHONEt
tiu���c(,`k(-xYC]/�`1`nJ,CI.\ f 1 utx\T c\ IAN-ik3 A` 'Y 7 (4)— (0 l - Clio
MAILING ADDRESS E-MAIL
ELECTRICAL 114? 1* Me, .-'5
CONTRACTOR CITY STATE ZIP FAX
Citk"\--1k, 01 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
rAME
Zre:VT)-471, 6LIN1/4rDA
PRIMARY PHONE
d�orc�,,t��v�ovt (2t�o)(o`er-APPLICANT MAILING ADDRESS E-MAIL
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OZWI CITY STATE ZIP FAX
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NAMEy PRIMARY PHONE
PROJECT CONTACT "'\�.�PI7AY'PP/VON(G OMY\ O W49)(1116- 0‘-11.0
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 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. H
SIGNATURE: i I DATE 1O 1 1 1 1 KJ
PRINT NAME. �•lAn ✓ , I A A. ., L
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application