15-101804ElectiNcal
City Coffmnfty& Federal Way Permit #: 15-101804-00-E L
33325 8th Ave S
Feder way, WA 98003 Inspection Request Line: (t253 835-3050
Ph: (253) 835-2-2 607 Fax: (253) 835-2609 (� quesl
Project Name: QUALITY INN
Project Address: 1400 S 348TH ST Parcel Number: 202104 9055
Project Description: Exterior LED Retrofit.
Owner
QUALITY INN & SUITES
ARRlican
INTEGRITY ELECTRIC AND LIGH'T'ING
Contractor
INTEGRITY ELECTRIC AND LIGHTING
1400 SW 348TH ST
GROUP
GROUP
FEDERAL WAY WA 98003
11410 NE 124TH ST SUITE 716
INTEGEG85I CF (2/16117)
KIRKLAND WA 98034-4305
11410 NE 124TH ST SUITE 716
KIRKLAND WA 98034-4305
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 Multi -family ................... 5 \ Q Ale
PERMIT EXPIRES
Permit Issued o
1 hereby certify that the above information is correct and t the
the occupancy and Up use I be in accordance wigp9e laws,
an ity of Fed
Owner or agent~ ... �AlV
1
1
n on the above described property and
rwregulations of the State of Washington
Date:
THIS CARD IS TO REMAIN ON-SITE `
Federal Aic
Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -101804 -00 -EL Address: 1400 S 348TH ST
Project: QUALITY INN & SUITES FEDERAL WAY, WA 98003-8949
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
0
UFER Ground (4295)
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)Service
1:1Approved
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
rl" OF A
Federal Way
APR 13 2015 ELECTRICAL
CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMEER 15 — / D / �-/ V V — —L L
SITE ADDRESS: 1N00 5 31-1:0410' 54Pect-tral wal 9 QC
SUITE/UNIT/SPACE f
PROJECT VALUATION
$ $ko
ASSESSOR'S TAR/PARCEL #
_c9 _D 2-_Z v Y - 9_j�f) 5-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�t
o VA l` kh Q
h V10. SU4 C S
PROJECT DESCRIPTION
Detailed description of work to
be included on tNspermit only
t i 0 t t(l R t r k: i.
Vt r ; W a -e
kkZ a®�t
PROPERTY OWNER
NAME
50�^d. 0,5
PRIMARY PHONE
-
MAnJNG ADDRESS
E-MAIL
CITY
STATE
I ZIP
r PAX
ELECTRICAL
CONTRACTOR
NAME
_10T6fiQZTY 6L.EL'tRZL
PRIMARY PHONE
(925)3'!1 -9190
MAILIIIG ADDRESS
1 %L! 1 O 14e m 4'"' ST ft -14
E -MAD.
CITY
K►rlc14►,a
I STATE
wA
ZIP
9$03
PAs
(14251 63 -635
WA STATE CONTRACTOR'S LICENSE t EXPIRATION DATE
7-1J"C 1 LF 2146 t,'►
FEDERAL WAY BUSINESS LICENSE t
20 -15- t01tail -00-OL
APPLICANT
NAME L
B ick c- c a
PRIMARY PHONE
-
MAILING ADDRESS
Saw% *_ as abevc
E-MAIL.
CITY
STATE
ZIP
PAX
PROJECT CONTACT
NAME ----- -
910 Vlw„% a 13 0 y arcLAOV,
PRIMARY PHONE
(t(2!;) 3'YY - 91$ o
I certM under penalty of perfury 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 4f this permit application is true and correct I certify that I will comply with
all applicable City 4f Federal Way regulations pertaining to the work authorized by the issuance of a permit I understand that the
issuance 4f this permit does not remove the owner's responsibility for compliance with Iocal, state, or federal laws regulating
constriction 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 ciirj including its officers and employees, upon the accuracy of the
Wormation supplied to the city g%ipart of this application_
SIGNATURE:
PRINT NAME:
yA S --
Bulletin #160 —January 1, 2013Page i of 2 k_OandoutsElecnical Permit Application