14-100941r '%,
Electrical
City of Federal Way Permit #: 14 -100941 -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) 835-26Q9 p Q
Project Name: GENE JUAREZ
Project Address: 2222 S 314TH ST Unit 73 Parcel Number: 092104 9053
Project Description: Installation of CCTV system.
Owner
li n
Contractor
GENE JUAREZ ACADEMY OF BEAUTY
FOCUS MICRO INC
FOCUS MICRO INC
3326 160TH AVE SE SUITE 400
4640 CAMPUS PL SUITE 100
FOCUSM1982Q I (11/22/14)
BELLEVUE WA 98008
MUKILTEO WA 98275
4640 CAMPUS PL SUITE 100
MUKILTEO WA 98275
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
Low Voltage - Burglar Alarm (Cor 1
PERMIT EXPIRES Ycc
t 2014
Permit Issued on
I hereby certify that the above information is correct a on the above described property and
the occupancy and the use will be in accordance w' he laws, ru d regulations of the State of Washington
Owner or agent: .
Date: 3 -3 �0)�t
THIS CARD IS TO REMAIN ON-SITE
CITY OF THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -100941 -00 -EL Address: 2222 S 314TH ST Unit 73
Project: GENE JUAREZ ACADEMY OF BEA FEDERAL WAY, WA 98003-5475
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.
11 Final - Electrical (4055)
Approved
By Date
0
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0Right
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
0Right
Service (4235)
By
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
0
Rough Electrical
Approved
Final Electrical
Approved
0Right
of Way
Approved
By
Date
By
Date
By
Date
1� Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: _ ZVZI S• 3%4 TM 5-r V'v"4_73 PERMIT#: l%} -too -q 4 l - d -o- IS-1-
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IF YOU HAVE QUESTIONS CALL
V'AG.-p
(253)835-
?_ G •L3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
0
r�
CITY Of 'A
Federal Way
RECEIVED
MAR 0 3 2014
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER Z � _ /0 1 D ly / _ 61&_
SITE ADDRESS: � ,� � ?� y r,{ �- t>+ L �
SUITE/UNIT/SPACE #
PROJECT VALUATION .
ASSESSOR'SAXC--j O � - jEL # �
CU�RT� POSED USE
11
PROJECT NAME
(Tenant or Homeowner Last Name)
c�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
l"t r
PRIMARY PHONE
j) 86q - L-(.3,3
MAA2ILING ADDRESS
E-MAIL
e,
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
- 0 f a,3
MAILING ADDRESS
YLAO Urn i,t� 0 L 166
E-MAIL
k,t)ly . M)C:, t -r 0- kev-%Iyt
ELECTRICAL
CONTRACTOR
CITY
Moo
STATE
ZIP
s
FAX
c ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
S 1
APPLICANT
NAME
1. Avg e
PRIMARY PHONE
)�J _04q a
MAILING ADD S
E-MAIL
CITY
STATE
I ZIP
/ FAX
l )
PROJECT CONTACT
NAME
f-$,� � -
PRIMARY PHONE
q"� ),Oio -Is d -q
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 city as a part of this application.
SIGNATURE:
PRINT NAME:�'/�
•
Bulletin #160 -January 1, 2013
Page l of 2
k:\Handouts\Electrical Permit Application