19-105508 Electrical
City of Federal Way Permit #:19-105508-00-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: PROGRESSIVE
Project Address: 34001 PACIFIC HWY S Parcel Number: 202104 9051
Project Description: Electrical to relocate(2)existing fire alarm notification devices.Install new fire alarm power
supply.Install(7)new fire alarm notification devices.
Owner Applicant Contractor
PROGRESSIVE CASUALTY INSURANCE MATT CARLMANFIRE SYSTEMS WEST FIRE SYSTEMS WEST INC
PO BOX 89429 INC (ELECTRICAL)
CLEVELAND OH 44101 206 FRONTAGE RD N SUITE C FIRESWI055LW(6/16/21)
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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PERMIT EXPIRES Saturday, 14 November,2020
Permit Issued on Friday,November 15,2019
I hereby certify that the above inf ation is correct and that the construction on the above described property
and the occupancy and the 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
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 105508 00 Address: 34001 PACIFIC HWY S
Project: PROGRESSIVE CASUALTY INSUR1 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.
❑ UFER Ground(4295) � ® Ditch cover(4030) !#1.71 Slab/Concrete Floor(4255) ,
Approved I Approved Approved to place concrete
.By Date �`By �
Date jBy Date
0 Pool Bonding(4195) •
Temporary Power(4275) ® Service(4235)
Approved Approved Approved
B• y Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved ss����G pproved
By Date : By le,/ef Date /.Z.. . '�J By %��� Date . --2 V
El Final-Electrical(4055)
Approved
By 1-/r Date 2 •707j'j
0 Rough Electrical '0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date ,By Date
RECEIVED
NOV 15 2019
CITY OF cri OF FEDERAL WAY ELECTRICAL
Federal Way cMMUNmY'DEVELOPMEMPERMIT APPLICATION
PERMIT NUMBER 1.'
1 0 ) `l X _ (/ V
VVV `SUUITE/UNITY/SPACE#
SITE ADDRESS: 34001 Pacific HWY S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
1, 500 . 00 2 0 2 1 0 4 _ 9 0 5 1
PROJECT NAME Progressive
(Tenant or Homeowner Last Name)
Relocate 2 existing Fire Alarm Notification Devices .
Install 7 New Fire Alarm Notification devices.
PROJECT DESCRIPTION
Detailed description of work to Install New Fire Alarm Power Supply.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Fire Systems West, Inc . (253 ) 833 - 1248
MAILING ADDRESS E-MAIL
ELECTRICAL 206 Frontage Rd N, Suite-C service@firesystemswest.com
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 6 / 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 serviceefiresystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047 ( ) _
NAME PRIMARY PHONE
PROJECT CONTACT Matt Carlman (253 ) 951 -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 harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of suc .laim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises • of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city part of this application.
iiiiSIGNATURE: DATE 11/15/2019
PRINT NAME: Matt Car man
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + perrnitcenter@cityoffederalway.com
cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of I k:\Handouts\Electrical Permit Application