13-103871alr
Electrical
City of Federal Way Permit #: 13 -103871 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SMOKE N' THINGS
Project Address: 32901 1ST AVE S Unit H Parcel Number: 697900 0030
Project Description: Lighting retrofit.
Owner
AAnolicant
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?.................Yes 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
I hereby certify that the above information is correct and that the construction on the above described properly 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:
THIS CARD IS TO MAIN ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103871 -00 -EL Address: 32901 1ST AVE S Unit H
Project: THE QUAD FEDERAL WAY_ WA 9Rnn3
..0=.,.... ap"Llvilb ii,ay uc iauca it wis cara 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.
UFER Groun
Approved
By Date
0 Pool Bonding (4195)
Approved
By Date
0 Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By r'` Date P) Ib ( 3
Ditch cover (4030)
1:1Slab/Concrete
Floor
By
Approved
Approved to place concrete
By
Date
By
Date
Temporary Power (4275)
Approved
By
Date
E]
Rough Electrical (4225)
Approved
By
Date
Service (4235)
Approved
By
Date
Right of Way
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved1:1
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
MY OFV& SEP 0 3 2013 ELECTRICAL
Federal Way CM OF FEDERAL WAY PERMIT APPLICATION
CDS
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PERKM Nummm 3 - l 0 � �✓ � i - Do
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SITE ADDRESS: 3 9 PVE �1 ` �4 �1
SUtTE/UNIT/SPACE #
#, HPROJECT
VAWA%TlON
s 3&0
ASSEISSOR S TAX/PARCEL #
-
— — — —
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
S �Q �—
I N
PROJECT DESCRIPTION
1 O 1Y
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
{ ) -
NUUL G ADDRESS
E-MAIL
CUT
STATE
I ZIP
FAX
NAS �10t�ES �LE�'T �i t C
ULARY PHONE
(253) PRC- 17,33
MAILDrG ADDRESS
277 I C 7-:5 ECONTRACTOR
E-1tAII.
ELECTRICAL
crrY�
j�e h!1
STATE
wA
zip
98a36
FAX
( )
WA STATE CONTRACTOR'S LICENSE ESPMATION DATE
.FE/D�ERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( )
MAMMG ADDRESS
E•MAH.
CITY
STATE
ZIP
FAX
l
PROJECT CONTACT
NAat$ LR R A pH 6 PM E R
PRIt#ARY PHONE
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 information submitted in support of this permit application is true and correct 1 certify that I will comply 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 Way as to any claim ftncluding 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 a part of appli n.
SIGNATURE: DATE 3 " !
PRINT NAME: t9 `-
Bulletin # 160 — January 1, 2013 Page 1 of 2 UHandoutsTlectrical Permit Application