13-103864City 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: THE QUAD - HOUSE EXTERIOR
Project Address: 32911 1ST AVE S
Project Description: Lighting retrofit.
t -' to
Electrical
Permit #: 13 -103864 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 697900 0030
Owner
Apglican
Contractor
THE QUAD
M JONES ELECTRIC
M JONES ELECTRIC
32717 1 STAVE S
27726 131 ST CT SE
MJONEJE90400 (9/20/14)
FEDERAL WAY WA 98003
KENT WA 65080
27726 131ST 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 Fbctures'
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
a i of E;g&Wl Way.
Owner or agent: Date:
n�
.. THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103864 -00 -EL Address: 32911 1 STAVE S
Project: THE QUAD FEDERAL WAY, WA
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 (t-44 Date fLo l )3
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (t-44 Date fLo l )3
Pool Bonding (4195)
0
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By (t-44 Date fLo l )3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Cr" CW V&
Federal Way
RECEIVED
SEP 0 3 2013
CITY OF FEDERAL WAY
CDS
ELEC'T'RICAL
PERMIT APPLICATION
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SITE ADDRESS: 3 2 9 f ( IST I \ v e 50 ur H �
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PROJECT VALUATION
,jQD-
ASSESSOR'S T AB/PARCEL s
— — —
CURRENT/PROPOSED USE
PROJECT NAME–
(Tenant or Homeowner Last Name)
c� t
w Y 04JAD
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
( ) -
MAHMO ADDRESS
E MAHL
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
APPLICANT
NAME
,10�E75 E1_EC71% t G
PRIMARY PHONE
(Z53) 3-6C- t Z 33
MAIUNG ADDRESS
27 7 I C 1 5 C_
E-MAIL
C=j��-�
IV 1
STATE
wA
ZIP
9943
FAX
c
WA STATE CONTRACTOR'S LICENSE EXPIRATION DATE
ft?
NAME
FEDERAL WAY BUSINESS LICENSE A
PRIMARY PHONE
(
MAILING ADDRESS
E-MAIL
cm
STATE
ZIP
FAX
PROJECT CONTACT
NAME
x 19 R jQ PH S VM E R
PRIMARY PHONE
(yl5")as -29g
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 to 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 finchuiing costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claia4, which may be made by any person, inchuling 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 app It n
00,
SIGNATURE: DATE 3
PRINT NAME: `-
Bulletin #160 -January 1, 2013 Page 1 of 2 k:lHandouts\Electrical Permit Application