13-104011v I3
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: THE COMMONS APARTMENTS
Project Address: 33404 1ST LN S
Project Description: 125 amp panel replacement
e
Electrical
Permit #: 13 -104011 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 132203 0130
'71)4q
Owner
ERP OPERATING LIMITED PAR
Agplica
D & R ELECTRIC
Contractor
D & R ELECTRIC
33404 IST LN S
13215 SE MILLPLAIN BLVD C8-314
DRELERE946M5 (10/1/14)
FEDERAL WAY WA
VANCOUVER WA 98684
13215 SE MILLPLAIN BLVD C8-314
98003-6279
VANCOUVER WA 98684
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (11 .1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Tuesday, March 11, 2014
Permit Issued on Thursday, September 12, 2013
1 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
nd ity of Federal Way.
Owner or agent: -F-mDate:
40/14?/114
A&
THIS CARD IS TO IN ON-SITE
CITY of 40 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -104011 -00 -EL Address: 33404 1 ST LN S
Project: FEDERAL WAY, WA 98003-6279
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.
❑ Final - Electrical (4055)
Approved
By lµ 8 Date 1 S
UFER Ground (4295)1:1
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Final Electrical
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By lµ 8 Date 1 S
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Final Electrical
Approved
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
❑ Final - Electrical (4055)
Approved
By lµ 8 Date 1 S
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
PERMIT NUMBER I ✓
ELECTRICAL
PERMIT AP?ffL6J1Vff0N
1 0 4 O lr( SEP 1 1 2013
CITY OF FEDERAL WAY
CDS
SITE ADDRESS: 2 "„/lD q I S I
J
SUITE/UNIT/SPACE f
PROJECT VALUATION
$2g�011
O
ASSESSOR'S TAR/IPPARCEL /CURRENT/PROPOSED
—t� 2 Z U _ 0 L �
USE
PROJECT NAME
(Tenant or Homeowner Last Name)
h L
e U Yll1 Q� S A I
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
2 u Cis z.5 cL n e t s
�AaC' 2 t" n e
PROPERTY OWNER
L
NAME
C o f" (10 VI S CAp t-
PRIMARY PHONE
(�� Ip) q ) 5 -ZS �)
°l 0 S '3b St
P a nth er i qe Oelir
C_ � f e r C A vV a
�Tpt
ZIP9 S Ob 3
c ) FAX
ELECTRICAL
CONTRACTOR
NAME �- ?` Et�eei� , �,
(Ao) �� III
MAILING ADDRESS .-
c� > Z I r5 S C t t\ 9 t ckk ✓N b\ J i t
E -
�!2 (e COmCccst.
CITY
�CLM_ -0-V,
STATEZIP
ujVk-
FAX
bo) T76 -07.3
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
jDL £ SEK e G1 Li CQ M5
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
C�
PRIMARY PHONE
) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME i
M 1 6 i�� C .N i e
PRIMARY PHONE
(503) 25 $-1 Zd
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 city as apart of this application.
SIGNATURE:
PRINT NAME: b o o ay c,_ t Q ++rXQ_ y,
g_ 11c)I 13
Bulletin # 160 —January 1, 2013 Page 1 of 2 UHandoutsTlectrical Permit Application
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