13-104014City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 F Electrical
Permit #: 13 -104014 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: THE COMMONS APARTMENTS ;��464
Project Address: 33411 1ST LN S Parcel Number. 132203 0150
Project Description: 125 amp panel replacement
Owner
ERP OPERATING LIMITED PAR
Anglicant
D & R ELECTRIC
Contractor
D & R ELECTRIC
33411 IST LN S
13215 SE MILLPLAIN BLVD C8-314
DRELERE946M5 (10/I/14)
FEDERAL WAY WA
VANCOUVER WA 98684
13215 SE MILLPLAIN BLVD C8-314
98003-6282
VANCOUVER WA 98684
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electrical Fbdures
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
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: Sam Date:
okm now
P ��
CITY OF 4 I
Federal Way
PERMIT #:
13 -104014 -00 -EL
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 33411 1 ST LN S
Project: FEDERAL WAY, WA 98003-6282
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)1:1
Ditch cover (4030)
E]
Slab/Concrete Floor (2 5)
n
Approved
Service (4235)
Approved
[By
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
EFinal
E]
n
Temporary Power (4275)
Service (4235)
Date
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
�4(3 Date
El
Rough Electrical
Approved
EFinal
Electrical
Approved
n
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4A
Federal Way
PERMIT NUMBER 1
104 0 (4f _ 60
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: 33-
r _ S�j-
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SUITE/UNIT/SPACE #
PROJECT VALUATION
o�
ASS, PARCEL ' T #
l C1_ �� O
CURRENT/PROPOSED USE
$2g�0.
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PROJECT NAME
(Tenant or Homeowner Last Name)
hh
The 0 nA W Q� S ri P+-
Ck- 25
G 2 Vy" e 1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
C 0 f" 110 V15 CA P
PRIMARY PHONE
( g_4 (0) 9 V5 -25L)
MAILING ADDRESS
°I0 S '3 -gib st
E-MAIL
CITY
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STATE
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NAME
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(A d) PRIMARY PHONE I
MAILING ADDRESS y
t� Z i C� S� I t '� t Gl \,-\C b\ J i t%
V e I e C 0MCC,st-
ELECTRICAL
CITY
P-\(-
STATEZIP
w
3toeq
FAX
'76-073
CONTRACTOR
� CLM,Ou V
W
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
-D £: L) (S M5
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( ) -
MAILING ADDRESSE-MAIL
CITY
_71
TATE
ZIP
FAX
PROJECT CONTACT
NAME
N\ 1 6 M e
PRIMARY PHONE
(5,D3) 215 20
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 1 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: -bo V b d V CL L e o at y,
B 1 InII5
Bulletin# 160 —January 1, 2013 Page t of 2 k:\Handouts\Electricai Permit Application
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