19-101811 r
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Electrical
City of Federal Way Permit #:19-101811-00-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: gat AENIOR LIVING
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: Low-voltage wiring for upgrade to existing fire alarm system.
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Owner Applicant Contractor
BROOKDALE SENIOR LIVING MATT CARLMANFIRE SYSTEMS WEST FIRE SYSTEMS WEST INC
6737 W WASHINGTON ST SUITE 2300 INC (ELECTRICAL)
MILWAUKEE WI 53214 206 FRONTAGE RDN SUITE C FIRESWI055LW(6/16/19)
PACIFIC WA 98047 206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Thursday, 16 April,2020
Permit Issued on Wednesday,April 17,2019
I hereby certify that the above inform-, ion is correct and that the construction on the above described property
and the occupancy an he use I be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way. /,/ IA/
Owner or agent: Date: r /
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THIS CARD IS TO REMAIN ON-SITE
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TInspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
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PERMIT#: 19 101811 00 Address: 32290 1ST AVE S
Project: BROOKDALE SENIOR LIVING 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.
1,0
UFER Ground(4295) z❑ Ditch cover(4030) ' ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) 3 ® Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 9❑ Ceiling Cover(4020)
Approved Approved Approved
By Date ; By ..e.."- Datq�,—/?—/2- By Date
El Final-Electrical(4055)
Approved
By 2( Date`(/,,g2-17
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
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RECEIVED
APR 1 7 2019
GOM U, Ty DEVELOPMENT ELECTRICAL
CITY OF ��.�
Federal Way PERMIT APPLICATION
PERMIT NUMBER / 9_ / 6 / $/ / _ 6
SUITE/UNIT/SPACE#
SITE ADDRESS: 32290 1st Ave S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5,000.00 1 7 2 ] 0 4 _ 9 0 3 9
PROJECT NAME
(Tenant or Homeowner Last Name) Brookdale Senior Living
Upgrade Existing Fire Alarm Pane. Relocate Existing Fire Alarm Devices
For Tenant Improvement as needed. Upgrade Existing Fire Alarm Notification
PROJECT DESCRIPTION
Detailed description of work to Devices in Tenant Improvement area as required by code.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Flanagan Bilton
MAILING ADDRESS E-MAIL
500 N Dearborn. St, Suite 400
CITY STATE ZIP FAX
Chicago IL 60654
NAME l / PRIMARY PHONE
Fire Systems West, Inc. (253 )833 _ 1248
MAILING ADDRESS l E-MAIL
ELECTRICAL 206 Frontage Rd N, Suite-C serviceBf::iresystemswest.com
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 06/ 16 / 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 servicea-firesystemswest.con.
CITY STATE ZIP FAX
Pacific WA 98()47
NAME 1 PRIMARY PHONE
PROJECT CONTACT Matt. Carlman
253-151-6005
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 harml s the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defe e of uch claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such clai ari es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t cit as a part of this application.
SIGNATURE: DATE 04/17/2019
Matt arl an
PRINT NAME:
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + perrnitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application