13-1038720 Electrical
City of ay
Community & Econ.ral Devy Services Permit #. 13 -103872 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (25
3) 835-3050
Project Name: THE QUAD - SUITE J
Project Address: 32901 1ST AVE S Unit J Parcel Number: 697900 0030
Project Description: Lighting retrofit.
,Owner
Applican
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
and the City of Federal Way.
Owner or agent: Date:
TRIS CARD IS TOrec�tion
IN ON-SITE
C,nr OF • Construction In Record
Fedora l Way INSPECTION REQUE(253) 835-3050
PERMIT #: 13 -103872 -00 -EL Address: 32901 IST AVE S Unit J
Project: 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.
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Service (4235)
Approved
By Date
UFER Ground (4295)Ditch
cover (4030)
Rough Electrical (4225)
Slab/Concrete Floor (4255)
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
Final - Electrical (4055)
Approved
By VV 15 Date Gl 1 O 13
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By VV 15 Date Gl 1 O 13
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF V&
Federal Way
RECEIVED
SEP 0 3 2013
CITY OF FEDERAL WAY
CDS
PERT1[1T NUMBER J
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: 1 1 ST 6 Lf e— so U -04
SUITE/UNIT/SPACE i
--d-.1
PROJECT VALUATION
D
ASSESSOR'S TAX/PARCEL i
_
CURRENT/PROPOSEUSE
D
PROJECT NAME
(Tenant or Homeowner Last Name)
j" ED E R A L W ft QUAD
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PRONE
{ ) -
MAMING ADDRESS
gMAD,
CITY
STATE
ZIP
( FAX
l )
ELECTRICAL
CONTRACTOR
NAME
1014E-5 EL.C71k t C
PRIMARY PHONE
{253) slat- t z 33
NAILING ADDRESS
Z772& 131 C 15 �5-
E -MAD.
CITY1�e
STATE
WA
ZIP
986 36
FAX
{ ►
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
1" 1rJE5-J1FCh0t00
FEDERAL WAY BUSINESS LICENSE
APPLICANT
NAME
PRD/ART PHONE
{ )
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
l
PROJECT CONTACT
NAS LORA PH t FFM R
PRIMARY PHONE
{.Yzs► 08 - 2.943
I certify under penalty of perjury that I am the property owner or authorised 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 apart of his appli on.
SIGNATURE: DATE _ 3
PRINT NAME: `-
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application