13-103870W
i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
a
Electrical
Permit #: 13 -103870 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: THE QUAD - EXTERIOR 19211
Project Address: 32931 1ST AVE S Parcel Number: 697900 0010
Project Description: Lighting retrofit.
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ARRlican
Contractor
THE QUAD
M JONES ELECTRIC
M JONES ELECTRIC
32717 1ST AVE S
27726 131ST CT SE
MJONEJE90400 (9/20/14)
FEDERAL WAY WA 98003
KENT WA 65080
27726 131 ST CT SE
KENT WA 65080
Additional Permit information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, March 2, 2014
Permit Issued on Tuesday, September 3, 2013
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
he City of Federal Way.
Owner or agent: .Date:
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CITY OF
Federal Way
PERMIT #:
Project:
13 -103870 -00 -EL
THE QUAD
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 32931 1 STAVE S
FEDERAL WAY, WA 98003-6304
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
UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
1:1Approved
Ceiling Cover (4020)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date cj (,�b-? J
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
MyCIF
Federal Way
RECEIVED
SEP 0 3 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
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SITE ADDRESS: -,'3,.- /S ! AUG- SOV ► 4 c;—/ 31 0 -
SUITE/UNIT/SPACE i
PROJECT VALOATION
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ASSESSORS TAX/PARCSL i
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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ED �R AL W P �Q D / () IR
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
PRIMARY PHONE
( ) -
KAII IG ADDRESS
EMAIL
CrrY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME ti/V�S M+(.�G� ► 1 1 t G
PRBKARY PHONE
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MAILING ADDRESS
2 7 7 /,31 C 15 C -
EMAIL
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STATE
WA
ZIP
'1963.6
FAX
WA STATE CONTRACTOR'S LICENSE I X)MRATION DATE
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FEDERAL WAY ROSINESS LICENSE i
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APPLICANT
NAME
PRDNARY PRONE
( )
NUUZRW ADDRESS
EMAII
CITYSTATE
ZW
FAX
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PROJECT CONTACT
MASE Lf�? R A P� ��
PRDiARYPHONE
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I cert{ fg under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of mg knowledge, the information submitted in support of this permit application is true and correct I certify that I will conply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 Wag 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, inebAding the undersigned, and flied 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 apart of Oda appli n.
SIGNATURE: DATE 3 �'
PRINT NAME: `-
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\HandoutslElectrical Permit Application