13-104013T �
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
.= Mectrical
Permit #: 13 -104013 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: THE COMMONS APARTMENTS
Project Address: 33408 1ST LN S
Project Description: 125 amp panel replacement
Parcel Number: 132203 0120
Owner
ERP OPERATING LIMITED PAR
Aonlicant
D & R ELECTRIC
Contractor
D & R ELECTRIC
33408 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
98003-6232
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 0 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Tuesday, March 11, 2014
Permit Issued on Thursday, September 12, 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
City of Federal Way.
Owner oragent: FILE Date:
crry CW
Federal Way
PERMIT #:
Project:
THIS CARD IS TOON-SITE
i
Construction Inrec�tion Record
INSPECTION REQU3) 835-3050
13 -104013 -00 -EL Address: 33408 1 ST LN S
FEDERAL WAY, WA 98003-6232
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
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab Concrete Floor ( 255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By µ!q Date Ci Iq I r
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)11
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By µ!q Date Ci Iq I r
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
CITY OF ' A
Federal Way
PERMIT NUMBER l
ELECTRICAL
PERMIT APPLICATION
X04 oi3_00
SITE ADDRESS:15 O 50 I e_,,DUI
SUITE/UNIT/SPACE #
L410
PROJECT VALUATION
ASS R'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
,U YVl
e Cm rw� S A
e Q k cj_c 25 0,MV P cLAels
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
. Til C 0 YY► (1 0 V1 S a P
PRIMARY PHONE
)91'5 -ZS
MAILING ADDRESS
1 90 (5 3 Wio St
EMAIL
Pun+4 crldge ®e
CITY
IiFe a e rrCA v\j a
1,uT
9 S CO 3
c FAX
NAME $ R1 O ��
PRI![ARY PHONE 1
tJSY., (yjy
MAILING ADDRESS CS
V. -- 6-z 1c:5 S C (1, 9 Wov-1 b\4 3 t%
d V e( e C 0MCC, Sf-
ELECTRICAL
Cr"
� CLVY 0v v� �
S'T'ATE
w
zP
g3t��y
FAx
c �6�) 6 - 07-3 7
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
p £ L� )LJ CQ M5 (p � �5
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
C
C ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
1 ) -
PROJECT CONTACT
NAME
M ► 6 {\A
PRIMARY PHONE
(503) 2:5 $-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 a part of this application.
SIGNATURE:
PRINT NAME: TDckv ba a_ te- -F-f- )'y. '
Bulletin # 160 —January 1, 2013 Page l of 2 k: flandoutsTlectrical Permit Application
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