13-103054 • •
lectrical
City of Federal F ILE
Comm n r&Econ.Devy Services Permit #: 13-103054-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: CRAZY PHO CAJUN �ga
Project Address: 32034 23RD AVE S Parcel Number: 162104 9018
Project Description: Lighting retrofit
Owner Applicant Contractor
FW TOWNE SQUARE LLC M JONES ELECTRIC M JONES ELECTRIC
FW TOWNE SQUARE LLC 27726 131ST CT SE MJONEJE90400(9/20/14)
PO BOX 98922 KENT WA 65080 27726 131ST CT SE
TACOMA WA 98498-0922 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 5
PERMIT EXPIRES Monday, January 6, 2014
Permit Issued on Wednesday, July 10, 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 See Application Date:
tJUL 10 RECD
• THIS CARD IS TO MAIN ON-SITE ,
CITY OF �
Federal WayConstruction In ection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 13-103054-00-EL Address: 32034 23RD AVE S
Project: FW TOWNE SQUARE LLC 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.
El UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) Cl Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By n tA— Date 11--` -
03
•
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date i By Date By Date
CITY OF EL CTRICAL
OF
Federal Way PERMIT APPLICATION
/
� RECEIVED
PERMIT NUMBER 1 "3 _ 1 d �J n 54 _ ao JUL 10 2013
suSiiki1hesotestRAL WAY
SITE ADDRESS: 32 034 23 t X & 7 ::41-,-...5- CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Thnant or owner Last Name) }-t04(.. \fAN- CRWZ Y OW Ute C' le-A Z-y 'pN-10 CAJUN
PROJECT DESCRIPTION L-(&ti r lit(' _R ETR4 F=tT
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER oRDBN CSU 1 L A 1.D (2S'3)nil -g V d 8
kAMAILING ADDRESS EMAIL
CITY STATE ZIP FAX
( ) -
• NE
NAME P1 JvtE5 £.Lt.C'T'R1C (253) 1PRIMARY 2.33
MAILING ADDRESS -' --- EMAIL
ELECTRICAL 27?2(0 t31 CT S C .
CONTRACTOR CITY , N`�[' vii A ZIP FAX
8o 3 4 ( )
t- -
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
• 141.106te-jc go 400 9 i 1.8 iia Zu-$t-Iao7zs-40-sc
NAME PRIMARY PHONE
APPLICANT imRRS HALL ONE' (25.3)56,1 - J2.33
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( I -
NAME PRIMARY PRONE
PROJECT CONTACT _ ( ) -
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 taws.
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 ding the undersigned,and filed against the city,
but only where such claim arises out of the reliance o the city, including its officers and employees, upon the accuracy of the
information supplied to the as a, of ,:r"r n.
SIGNATURE: DATE l tO — (3
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 BHandouts\E1ectrical Permit Application