13-104015t.
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
i le Electrical
Permit #: 13 -104015 -00 -EL
Inspection Request Line: (253) 835,3050
Project Name: THE COMMONS APARTMENTS
Project Address: 33412 1ST LN S Parcel Number. 132203 0110
Project Description: 125 amp panel replacement
Owne
ERP OPERATING LIMITED PAR
ARRlicant
D & R ELECTRIC
Contractor
D & R ELECTRIC
33412 1ST LN S
13215 SE MILLPLAIN BLVD C8-314
DRELERE946M5 (10/1/14)
FEDERAL WAY WA
VANCOUVER WA 98684
13215 SE MILLPLAIN BLVD C8-314
98003-6284
VANCOUVER WA 98684
Additional Permit InformatiliOn
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
Fit nd ity of Federal Way.
Owner or agent Date:
CITY OF VAI�'
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104015 -00 -EL Address: 33412 1ST LN S
FEDERAL WAY, WA 98003-6284
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 Final - Electrical (4055)
Approved
By Date C_
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
By Date By Date By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)11
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date C_
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
By Date By Date By Date
Pool Bonding (4195)
0
Temporary Power (4275)11
Service (4235)
Approved
Approved
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
0 Final - Electrical (4055)
Approved
By Date C_
Rough Electrical Final Electrical Right of Way
Approved Approved 11 Approved
By Date By Date By Date
aTY OF
Federal Way
PERMIT NumBER
10 CEO (5--00
ELECTRICAL
PERMIT APPLICATION
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 clainy, 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: .V 0'V b ay CL L e -f -T rVt 1'
Bulletin # 160 — January 1, 2013 Page 1 of 2 Ul-iandoutsTlectrical Permit Application
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SUITE/UNIT/SPACE #
SITE ADDRESS:
PROJECT VALUATION
2 �0' o�
ASSESSOR'S TAR/PARCEL iCURRENT/PROPOSED
-L3 2 2 O - C7 Lo
USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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L' (J QV' ` t -t I4
(N Z.50L PAO CL els -fico V" -
C' 2 C5 0,yA1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
(�(� (p) 9) 5 -ZS y
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MAILING ADDRESS
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E-MAIL
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CITY
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STATEZIP
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FAX
( ) -
NAME
PRIMARY PHONE
MAILING ADDRESS C
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ELECTRICAL
CITY
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STATE
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ZIP
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FAX
CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
'D £ SEK (IL) is ►A5 tp 15
FEDERAL WAY BUSINESS LICENSE
NAME
PRIMARY PHONE
APPLICANT
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
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PROJECT CONTACT
NAME
1
PRIMARY PHONE
(503) S-1 Zp
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 clainy, 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: .V 0'V b ay CL L e -f -T rVt 1'
Bulletin # 160 — January 1, 2013 Page 1 of 2 Ul-iandoutsTlectrical Permit Application
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