17-105037 Electrical
City of Federal Way Permit #:17-105037-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 FILE
Project Name: DR JULIA FREDERICKS
Project Address: 33516 9TH AVE S) (, Parcel Number:926925 0000
Project Description: Demo-take circuits back to nearest j-box,make safe:
4-A 2x4 direct/indirect fixtures with emergency ballast,4-B 2x4 direct/indirect fixtures with
dimmers
5-C 2x4 direct/indirect fixtures
20-D can lights 5"incandescent fixture with LED bulb($106.00 each original fixture)($52.00
new fixture)
7-E can lights 4"($138.20 each original fixture)($102.00 new fixture)
1-F LED strip
8-G under cabinet lights,2-H under cabinet lights
4-J Provide power for dentist provided lights(furnished by others/installed by others)
1-K pendant lights(provided by owner installed by Matrix),2-L pendant lights(provided by
owner installed by Matrix)
1-M exit signs,3-N exit signs
4-0 emergency lights
1-P exhaust fan(equipment connection only,supplied by others),3-Q exhaust fan(equipment
connection only,supplied by others),1-R exhaust fan with thermostat control(equipment
connection only,supplied by others)
5-Switch boxes for volume controls(includes j-box with single gang mudring and pull string,1-
Switch with dimmer,2-Switches
1-Double switch(1-standard switch 1-dimmer switch),4-Switches with dimmer controls
1-Double switch(1-standard switch 1-switch with occupancy sensor),1-4 gang switch(1-
switch 3 way 3-standard switch
1-4 gang switch(2-switches with dimmers 2-standard switches)
1-Triple switch all standard
1-Double switch all standard
Owner Applicant Contractor
JULIA FREDERICKSDR JULIA FREDERICKS RONALD SHACKELFORDMATRIX MATRIX ELECTRIC LLC
PLLC ELECTRIC LLC MATRIEL901NR(8/19/18)
34617 11TH PLS UNIT 102 15419 24TH AVE E
FEDERAL WAY WA 98003 TACOMA WA 98445 15419 24TH AVE E
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application? Yes co,tiO
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Circuits-Commercial 12
PERMIT EXPIRES Friday,19 October,2018
Permit Issued on Thursday,October 19,2017
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: I E Date:
DATE INSPECTOR \ EA AND T`kINSPECTIO
ICA 31A1"7 ROVE\N, .►n 1 �aw Al4 S uyaga21Ze
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THIS CARD IS TO REMAIN ON—SITE
o Construction Inspection Record
FeCleral vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105037 00 Address: 33516 9TH AVE Si .5(...06 (ra
Project: JULIA FREDERICKS 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 am unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
•0 .
• '•
UFER Ground(4295) 2 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
,By Date By Date By Date
El Pool Bonding(4195) ' El Temporary Power(4275) ® Service(4235)
Approved Approved ? Approved
By Date By Date By Date
•
7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved 12' 7. Approved Approved
By Date ; Date A. n '`r) Date k\ 23=3( ('7,
•
El Final-Electrical(4055) `
Approved
Date iz (7
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date