15-101899 Electrical
City &Federal Way Permit #: 15-101899-00-EL
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 1
Project Name: FEDERAL WAY CITY HALL
Project Address: 33325 8TH AVE S Parcel Number: 926500 0290
Project Description: Adding/altering up to(20)circuits for associated tenant improvement work
Owner Applicant Contractor
CITY OF FEDERAL WAY CITY OF FEDERAL WAY-PARKS J G M TECHNICAL SERVICES
33325 8TH AVE S 33325 8TH AVE S JGMTETS956KJ(5/15/15)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 4742 42ND AVE SW SUITE 169
SEATTLE WA 98116
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 20
PERMIT EXPIRES Wednesday, October 14, 2015
Permit Issued on Friday, April 17, 2015
I hereby certify that the ab,pve information is correct and that the construction on the above described property and
the occupancy and the Vt- wil/be n accordance ,`th the laws, rules and regulations of the State of Washington
' -, ::_Federal Way.
Owner or agent: Date: % 2(27.3
*DATE INSPECTOR AREA AND TYPE O''4NSPECTION )'- - .
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ti-.S 1 IT tic qo ?ow rfist.6 Watt Govt,.- `riee,iv<< to .qy-oow•.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF • Construction InOection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
- PERMIT#: 15-101899-00-EL Address: 33325 8TH AVE S
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98003-6325
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.
❑ UFER Ground (4295) -❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date
By Date
•
o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date Date
FY F=
0 Final-Electrical(4055)
Approved
By (\,_u _ Date r ` 4 r ! `
❑ Rough Electrical CI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
•
E CTRI CAL
CITY OF
Federal Way PERMIT APPLICATION
PERMIT NUMBER _ 0 �6i _ APR 17 2015
ciuruggimii.WAY
SITE ADDRESS: (17 5 !1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# O CURRENT/PROPOSED USE
ClZ' CO ° ° — ° Ct
PROJECT NAME /,, _ _ �� ,W f
(Tenant or Homeowner Last Name) �': 1 � 1 � 1
,• Aro
_
p(5/2
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only u''/ (1 )LiT! tfp !re,o J(C J
NAME / PRIMARY PHONE
PROPERTY OWNER ("77-1:-/ tlj( ,f l :(e. /t/- ( ) -
MAILING ADDRESS J E-MAIL
CITY STATE ZIP FAX
F (r% ILA (M'i()' ( ) -
NAME PRIMARY PHONE
� T / // 7 4(1 </%�1// .1 (� )//i 1 gyI
MAILING ADDRESS E-MAIL
ELECTRICAL ��/ Z �',Z. y> 1x't 5/ ' ,r
CONTRACTOR CITY STATE ZIP /� / FAX
C14I77 i t/ 2 /t ; ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
•
APPLICANT rz -e ' tiyyr-- ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
PROJECT CONTACT /�/j (-;//e" ] (�/ ( )
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.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`it •• a part of this application.
SIGNATURE: I�1 J r DATE <�
PRINT NAME: — - i -✓��%/,
Bulletin#160—January 1,2013 Page 1 of 2 k:AI-landouts\Electrical Permit Application