12-100734 ltity of Federal Way Electrical
Community&Econ.Dev.Services Permit #: 12-100734-0O-EL
33325 8th Ave S --"7.4 n r, roe
Federal Way,WA 98003 Li Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: DUMAS BAY CENTER
Project Address: 3200 SW DASH POINT RD Parcel Number: 122103 9146
Project Description: Installing motion sensors and light fixtures for energy savings. 'a°yo2-
Owner Applicant Contractor
CITY OF FEDERAL WAY J G M TECHNICAL SERVICES J G M TECHNICAL SERVICES
33325 8TH AVE S 4742 42ND AVE SW SUITE 169 JGMTETS956KJ(5/15/13)
FEDERAL WAY WA 98023 SEATTLE WA 98116 4742 42ND AVE SW SUITE 169
SEATTLE WA 98116
Additional Permit Information
I
Is Use Educational or Institutional9 No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 30 C15 Ff
PERMIT EXPIRES Tuesday, August 14, 2012
Permit Issued on Thursday, February 16, 2012
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 •e i ordance ith the laws, rules and regulations of the State of Washington
///f / -• �11 . -sclera'Way.
Owner or agent: /' %r Vi Date: a Ye `-Z—E.31�
I FIN A I rD 5/i ?//i.
THIS CARD IS TO REMAIN ON-SITE -
CITY OF • Construction I ection Record f
Q
Federal Way INSPECTION RE UESTS: 253 O 835-3050
PERMIT#: 12-100734-00-EL Address: 3200 SW DASH POINT RD
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98023-2340
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 Service(4235) 0 Feeders/Sub-panels(4045) El Rough Electrical(4225)
Approved Approved Approved
By Date By Date By Date
El Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved
By Date z Date— (''-
1
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF el)
Fe . 71 i
ELECTRICAL
6 +a
PEgMIT APPLICATION
DERN-
OF ;;� electrical •permits may be obtained on-line at www.cityojederalway.com**
SITE ADDRESS: 3e
SUITE/UNIT/SPACE S ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
PROJECT NAME Last Name) (/�1��'I /("e CC/ti '� Z� C�CX c:74(//�/
PROJECT DESCRIPTION / (Z,iy j-- f�/"7// SI C C/ r_5 74,�
Detailed description of work to !
be included on this permit only
NAME � /� PRIMARY PHONE
PROPERTY OWNER C /[t/ l 2///i( LC 2(-j(/S-3 ) 3'-- / ,✓7
MAILING ADDRESS t E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL (. ]-!f 4,41 s6z
CONTRACTOR CITY STATE ZIP FAX
E 1/L6 ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
Vet4'7 /f 7 /?
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) EMAIL
CITY STATE ZIP FAX
( ) -
NAME A PRIMARY PHONE
PROJECT CONTACT E /!0l '-/'' (ZS 3 ) 5 S` -2,C)
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 in f ormation submitted in support of this permit application is true and correct.I
certify J 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 o ' • the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c fns of this applic•• •
SIGNATURE: !/ / O1' DATE —/e ZZ7/Z
PRINT NAME: (-NT/P('( !t?'
33325 8th Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application