19-105466 Electrical
City of Federal Way Permit #:19-105466-00-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: JACKSONS#636-CONVENIENCE STORE
Project Address: 1520 S 348TH ST Parcel Number: 889700 0115
Project Description: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
JACK DAV1SPACWEST ENERGY LLC ASSET PROTECTION PARTNERSHIP LTD ASSET PROTECTION PARTNERSHIP LTD
3450 COMMERCIAL PKWY CT PO BOX 349 ASSETPP036JZ(12/11/21)
MERIDIAN ID 83642 FOREST GROVE OR 97116 PO BOX 349
FOREST GROVE OR 97116
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Fire Alarm(Co I
PERMIT EXPIRES Thursday, 12 November,2020
Permit Issued on Wednesday,November 13,2019
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
Washi('!ton and the City of Federal Way.
11 / j3/ 2)14
Owner or agent: Date:
f
THIS CARD IS TO REMAIN ON-SITE
Fedi Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 105466 00 Address: 1520 S 348TH ST
Project: JACK DAVIS FEDERAL WAY WA 98003-6844
Scheduled inspections may be failed if this card is not on-site. DO NOT LASE 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.
® UFER Ground(4295) 1 ® Ditch cover(4030) , ® Slab/Concrete Floor(4255)
Approved Approved ! Approved to place concrete
By Date By Date �;�By Date
El Pool Bonding(4195) i ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
'•
® Feeders/Sub-panels(4045) ' ® Rough Electrical(4225) ,•® Ceiling Cover(4020)
Approved Approved
Approved
By Date ��By Date By Date
El Final-Electrical(4055)
By 1/pproved
Date /Mc; /7
•
-------,—,
Q Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF ^...�
Federal Way NOV 13 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT .
_ 6, L
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 1 5 20 5 2(ig sl
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$12/ 200 S $ GI706 - 0 / 15
PROJECT NAME �&-c. k-S O-Ks
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION \ �' l\ C—c Sle )1- ��' - ( _' e."'r/ "'
Detailed description of work to
be included on this permit only
N 2 � PRIMARY PHONE
PROPERTY OWNER 7-
J � S ( -606(
MAILING ADDRESS E-MAIL
9 f 5t C o✓11 rh-er.c.c Q
�efiat cf �! ... .236IP 42 ` _.. ) FAX
Mei-E
rP, V Ve�, PRIMARY PHONE
ING ADDRESS /�(' 5. E-MAIL
ELECTRICAL (Dt i3 3. 7 r
CONTRACTORITY STATE ZIP FAX
001- E - 333 W STATEt CONTRACTOR'S
e. ��ON 'T Rv s CENSE# EXPIRATION DATA. FEDERAL WAY BUSINESS LICENSE#
C 36 J 12 / II / 11' 20--P--b2 gtfe--0)--a.
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
N1 JPRIMARY PHONE
PROJECT CONTACT \?e1rr , OS (503 PIT _ 117)
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�yi city as •/'� of this a! lic., on.
SIGNATURE: // %/ DATE l `/ 13/ 20I /
PRINT NAME: F)1.i3/ S
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application