20-101065 J..
Electrical
City of Federal Way Permit #:20-101065-00-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: CELEBRATION SENIOR LIVING APARTMENTS-WEST TOWER
Project Address: 1316 S 328TH ST Parcel Number: 147318 0010
Project Description: Electrical wiring for installation of AES radio to monitor existing FACP.
Owner Applicant Contractor
CELEBRATION SENIOR LIVING ELIZABETH FISHERGUARDIAN GUARDIAN SECURITY SYSTEMS
201 27TH AVE SE BLDG A-300 SECURITY SYSTEMS (ELECTRICAL)
PUYALLUP WA 98374 1743 1ST AVE S GUARDSS233K5(9/30/20)
SEATTLE WA 98134 1743 1ST AVE S
SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C.application"' Yes
rill'
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Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Tuesday,9 March,2021
Permit Issued on Monday,March 9,2020
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: �� 0C1 I!�
•
.. THIS CARD IS TO REMAIN ON-SITE
CITY O Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 101065 00 Address: 1316 S 328TH ST
Project: CELEBRATION 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.
El UFER Ground(4295) El Ditch cover(4030) , El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ; By Date
• •
0 Pool Bonding(4195) ® Temporary Power(4275) ; El Service(4235)
Approved Approved i Approved
I
By Date 1 By Date ! By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) [11 Ceiling Cover(4020)
Approved Approved Approved
By Date 1 By Date By Date
El Final-Electrical(4055)
Approved
By Date TS- +f. 1
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,,,A. RECEIVED ELECTRICAL
CITY OF
Federal Way MAR 09 2020 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENTT NUMBER A/9-
/ �/ f 6 6 - C.4+F� 4 -
O [SUITE/UNIT/SPACE#
SITE ADDRESS: 13 1(p S. 32. S LS-ty-e-e+
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5-0®OD 1 L4 1- 3 1 S _ 0 C" °
PROJECT NAME D , V/
(Tenant or Homeowner Last Name) C\,b r a Iy V n - Y 1 U ,
1 ns 1--all Pt-ES radio 10 Yran\ -or -e1(SAl n(6__-
PROJECT DESCRIPTION 1-7a
Detailed description of work to
be included on this permit only
NAME CO� a� 0 cS€�I by
LiviV g PRIMARY PHONE
PROPERTY OWNER U Y l ( 3) _...3)'S0-2
MAILING ADDRESS
131 v ' 26i- SAE-MAIL.
CITY STATE ZIP FAX
Fe1ecal \No\\J vocr awo(PJ ( ) -
NAMECC V vl Y-Ii I a n S ( V Y 1 S� n ( ) PRIMARY PHONE
MAILING ADDRESS 1 -y,/J 15 E-MAIL
ELECTRICAL � S'
CONTRACTOR CITY ^n !'tilt STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(i Writ-YJ SS Z�oKS 30 2 0
NAME _ f,, O PRIMARY PHONE
APPLICANT �I I r� f h (?- O) Lo22- -i5
MAILING ADDRESS E-MAIL
111-47-3 It- A-V. S .
CITY �U UL STAT q .1 ZIPFAX
VOA- q .13 Li ( )
NAME C �n O^ C, ^I I C !, (_r^^ ( ) PRIMARY PHONE
PROJECT CONTACT va I I W J /W' ('//JI�J/ I//Il 11 (U1/I
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.
I J� G�
SIGNATURE: G} DATE
PRINT NAME: V � I���
X114� • t"l�hsW
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application