13-103866•
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SUBWAY
Project Address: 32925 1ST AVE S SUITE M
Project Description: Lighting retrofit.
0
a
Electrical
Permit #: 13 -103866 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 697900 0020
wn
A121211can
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
27726131ST CT SE
KENT WA 65080
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Circuits - CommerciaL................... 1
PERMIT EXPIRES Sunday, March 2, 2014
Permit Issued on Tuesday, September 3, 2013
1 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:
Pj
CITY OF A&
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE ! 4
Construction In ction Record
INSPECTION REQUE TS: (253) 835-3050
13 -103866 -00 -EL Address: 32925 1ST AVE S SUITE M
THE QUAD 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.
Final - Electrical (4055)
Approved
By Y 4 Date 1 10 113
El
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Y 4 Date 1 10 113
El
Pool Bonding (4195)
❑
Temporary Power (4275)Service
1:1Approved
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Y 4 Date 1 10 113
El
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
C"OF 4&
Federal Way
RECEIVED
SEP 0 3 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
P=Km Nu"zR 13 --Zo _3j__64_L6_
SITE ADDRESS: ?J Z 9 Z S' 15T " A O � sou-r�' � y (t � L'
I
SUITE/UNIT/SPACE f
� M
PROJECT VALUATION
$ SID
ASSESSORS TAH/PARCEL i
-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
a,y
5 U U,W
PROJECT DESCRIPTIONL.1644T/WG
Detailed description of work to
be included on this permit only
1�
PROPERTY OWNER
NAME
PRU MHY PHONE
( j -
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
APPLICANT
NAME
,)0905 ELECM-k t G
PRU ARY PRONE
(2531 56C- ! Z 33
MAILING ADDRESS
Z 7 7Z.& G 5 E
E-MAIL
CITY���
STATE
wg
ZIP
98a
FAX
j
WA STATE CONTRACTOR'S LICENSE MATION DATE
�'►� o � .1� O D 9 i z,o it y
NAME
FEDERAL WAY BUSINESS LICENSE
2.0 �/ � 7 -Asa-r3c.
PRIMARY PHONE
(
MAILING ADDRESS
E—MAIL
CITY
STATE
ZIP
FAX
l
PROJECT CONTACT
xAME �� R P
PRIMARY PHONE
(-Yl5'1 00 - 29l
I certify under penalty of perjury that 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 envirorunentai 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 apart of his oppH n.
SIGNATURE: DATE 3
PRINT NAME: �--
Bulletin #160 —January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application