13-104018City of Federal Way Electrical
Permit #: 13 -104018 -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) 835-2609 p q
Project Name: THE COMMONS APARTMENTS nj1a�
Project Address: 33422 1ST LN S Parcel Number: 132203 0090
Project Description: 125 amp panel replacement
Owner
ARRlicant
Contractor
ERP OPERATING LIMITED PAR
D & R ELECTRIC
D & R ELECTRIC
33422 1 ST LN S
13215 SE MILLPLAIN BLVD C8-314
DRELERE946M5 (10/1/14)
FEDERAL WAY WA
VANCOUVER WA 98684
13215 SE MILLPLAIN BLVD C8-314
98003-6286
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 (h 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
n the City of Federal Way.
Owner or agent:F I 1= Date:
a am now
THIS CARD IS TO MAIN ON-SITE
CITY CIF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #:
13 -104018 -00 -EL
Address: 33422 1 ST LN S
Project: FEDERAL WAY, WA 98003-6286
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.
❑
LIFER Ground (4295)
o
Ditch cover (40-30-7---"
❑
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B
Date ������
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
aTY OF 'A
Federal Way
PERMIT NUMBER I :/
_104c)(S° _DO
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
r
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
C, U
d &ie C' 2 C5 0, e, I
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
- ib f C 0 f" (1 V1 S fig P
PRIMARY PHONE
(g,4 (p) 915 -25L19
�
MAILING ADDRESS
°I 0 S
MAIL
r
'/✓�
`
CrTY
IF -e d e (r cA vU a
STATE
Vu
zrP
1 S C0 3
FAX
NAME
TPH7
MAU.DIG ADDRESS c l -E.
�r Z 1 C:5S C ((, k Cl 1 ✓N b1 j 31
E.
l ((Q e (' 0Mai Sf -
ELECTRICAL
CITY
-0-V,
STATE
JA-q�tpay
ZIP
FAX
CONTRACTOR
CLM100 V
Vj
(,36o)1 b - 073 7
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
-M, £ L1EK � 11Ll (_Q
FEDERAL WAY BUSINESS LICENSE #
NAMEPRIMARY
PHONE
APPLICANT
-
MAILING ADDRESS
E-MAIL
CrrY
STATE
ZIP
FAX
PROJECT CONTACT
NAME ph�
M 1 C. C� C
PRIMARY PHONE
(503) 2�5S- 1 ZQ
I certify under penalty of per, jury 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 ciityA as a part of this application. i
SIGNATURE: i W l �— DATE _I 1
PRINT NAME: �Gk,V bavek- L ++ ryL Y,
Bulletin # 160 — January 1, 2013 Pagel of 2 k:�Handouts\Electrical Permit Application
cold
(I e t -