16-104373 s ,
-Ectrical
City&Federal Way Permit #: 16-104373-00-EL
Community Econ.Dev.Services �'� w
H33325 8th Ave S
Ph:(2 5 3)8Federal35-260Wa7 y,WAFax:(253)98003835-2609 Inspection Request Line: 253 835-3050
Project Name: EVERGREEN COURT APARTMENTS BUILDING H
Project Address: 33006 19TH LN S Bldg H Parcel Number: 797880 0460
Project Description: Installation of ERV&controls in units 23&24.
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY RIVERTON ELECTRICAL SERVICES RIVERTON ELECTRICAL SERVICES
600 ANDOVER PARK W 4116 S 131ST ST RIVERES851LA(6/1/17)
TUKWILA WA 98188-3326 TUKWILA WA 98168 4116 S 131ST ST
TUKWILA WA 98168
•
Additional Permit information
Electrical Work Valuation 1000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Multi-family 2
PERMIT EXPIRES Saturday, September 2, 2017
Permit Issued on Friday, September 2, 2016
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: Date:
4A , , . ,„
THIS CARD IS TO REMAIN ON-SITE
-
WayConstruction Inspection Record
Federal
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104373-00-EL Address: 33006 19TH LN S Bldg H
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA
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.
Q UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
•
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
B� Date( ---e2—(c
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
,. 0 2 2016
CITY OF FEDERAL WAY ELECTRICAL
CITY OF „A
Federal Way l `( ( °6 PERMIT APPLICATION
PEW=NUMBER /‘7 — 212 / 3.73 — L
SPACE•
SITE ADDRESS:B 19th Lane S BuildingH Federal Waysots 23&24
Units 23&24
PROJECT VALUATION ASSESSOR'S TAX/PARCEL IF CURRENT/PROPOSED USE
1000.00 7 9 7 8 8o - 04 6 0
PROJECT NAME — — — .
(Tenant or Homeowner Last Name) Evergreen Court Apartments
Install ERV and fan switch
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER King County Housing Authority ( 206)612 - 0062
MAILING ADDRESS EMAIL
600 Andover Park W STE D dana@kcha.com
CITY STATE SIP PAX
Tukwila WA 98188 ( ) -
NAME PRIMARY PHONE
Riverton Electrical Services ( 206) 280 0371
MAILING ADDRESS E-MAIL
ELECTRICAL 4116 s 131st st wiilkrivertonelectrical.com
CONTRACTORTukwila WA 98168 FAX
( )
WA STATE CONTRACTOR'S LICENSE 1 EXPIRATION DAIS FEDERAL WAY BUSINESS LICENSE 1
RIVERES851LA 6/ 01 /2017 20-16-104159-00-bI
NAME PRIMARY PRONE
APPLICANT Riverton Electrical Services (206 ) 280 - 0371
MAILING ADDRESS SMALL
4116 s 131st st willtrrivertonelectrical.com
CITY STATE ZIP FAX
tukwila WA 98168 ( ) -
RAMS PRIMARY PRONE
PROJECT CONTACT Will Gillispie (206 ) 280 -0371
I certify under penalty ofp ynrp that I ase the property owner or authorised agent of the property owner.I certify that to the best of
my knowledge,the infbrn atton submitted in support of this permit application is true and correct.I cerdAl that t will comply with all
appUcable City of Federal Way regulations pertaining to the work authorised 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 erwironmental laws.
/further agree to hold harmless the City of Federal Wag 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: C�tf4f 2. e)o-no. DATE 8/31/2016
PRINT NAME: Alay/Waa Boggs Q o
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application