19-102479 Electrical
City of Federal way Permit #:19-102479-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Faxc(253)835-2609
Project Name: RETREAT AT MAPLE HILLS BUILDING 13
Project Address: 32126 20TH LN SW Parcel Number: 132103 9101
Project Description: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
LEEWARD STRATEGIC PROPERTIES GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS
4 EMBARCADERO CENTER SUITE 1700 (ELECTRICAL) (ELECTRICAL)
SAN FRANCISCO CA 94111 1743 1ST AVE S GUARDSS233K5(9/30/20)
SEATTLE WA 98134 1743 IST AVE S
SEATTLE WA 98134
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 Wednesday,20 May,2020
Permit Issued on Tuesday,May 21,2019
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: 1 ickt1.1/‘ Date: ia,t I l`(�t
THIS CARD IS TO REMAIN ON-SITE
are O Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102479 00 Address: 32126 20TH LN SW Bldg 13
Project: LEEWARD STRATEGIC PROPERTI 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.
0 LIFER Ground(4295) Ditch cover(4030) 1 ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
i
By Date j By Date I By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date .'tBy 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)
Approved /gyp
By ,g ‘',g ‘' Date/' . 2 O -7-/.2,1? ii
-/ef.5 O/c -4' '4/
414- 04/74- ildj
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0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
11
RECEIVED
.......,., _.4 a k MAY 21 2019 ELECTRICAL
CITY OF
Federal Way °; EFEDERAL
PERMIT APPLICATION
PERMIT NUMBER ./ 7 - (.1 V a 7 9 - �. L
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL it CURRENT/PROPOSED USE
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PR ECT NAME
(Tenant or Homeowner Last Name) •P• . .PO4 c .k Y\CA\'U \�``L_)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (C CtCk 1,a MCc cu 'M\\5 ( 1 pix /1)21p
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CONTRACTOR CITY STATE FAX
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ASTATE CONTRACTOR'S LICENSER
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE R
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/1 NAME PRIMARY PHONE
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PROJECT CONTACT i �P y p e `C Ci t(3 Vl.0 v' )(Pig--3e1-RP
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 Iaws 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: V, 'o 7 , '` lb A DATE - c 1 k 1
PRINT NAME P Lit ' ,IVA . .
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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