19-104657 ,,
r111
,JJjj
Electrical
City of Federal Way Permit #:19-104657-00-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: ENTERPRISE ELEMENTARY SCHOOL
Project Address: 35101 5TH AVE SW Parcel Number:415920 0704
Project Description: Running new I/v wiring for the fire alarm system.
Owner Applicant Contractor
MIKE BENZIENFEDERAL WAY PUBLIC D&R MONITORING NETWORKS D&R MONITORING NETWORKS
SCHOOLS PO BOX 1008 DRMONRM847K6(5/26/20)
33330 8TH AVE S SUMNER WA 98390
FEDERAL WAY WA 98003-5433 PO BOX 1008
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,26 September,2020
Permit Issued on Friday,September 27,2019
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.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF 034 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104657 00 Address: 35101 5TH AVE SW
Project: MIKE BENZIEN FEDERAL WAY WA 98023
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.
,
® Service(4235) ® Feeders/Sub-panels(4045) EU ,
Rough Electrical(4225)
ApprovedApproved Approved
By Date •�By Date �`By Date
® Final-Electrical(4055)
Approved f
By f/e Date`/F Z ''/9
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •
CITY OF , ELECTRICAL
Federal Way RECEIVED PERMIT APPLICATION
SEP 2 7 2019
CITY OF FEDERAL WAY PERMIT NUMBER 9
COMMUNITY DEVELOPMENT
SUITE/UNIT/SPACE#
SITE ADDRESS: 2fl' /0,' 4" S
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$ 90°
PROJECT NAME
(Tenant or Homeowner Last Name)
nJLK) W (2e (t1,/hw• -v,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME� / PRIMARY PHONE( L/ii v, 4,r,•� j/V-e.�..�rn k-r 1.—Z4 (753)f7- 51061,
MAILING ADDRESS E-MAIL
ELECTRICAL Pc) /Soy (oG� Frpµk e �J,� .
CONTRACTOR CITY STATE ZIP FAX
Sv, u� Wh 7e? o ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�'rvl d N. / wti7 f'C 5 / 26-79- vo 525-CfJ-hL
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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.
SIGNATURE: DATE /- 7//g
PRINT NAME: r'J'"- iL
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application