16-104374 Electrical
City of Federal Way
Community&Econ.Dev.ServicesFINALED Permit #: 16-104374-00-EL
33325 8th Ave S Federal Way,wA 98003 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q ( )
Project Name: EVERGREEN COURT APARTMENTS BUILDING I
Project Address: 33004 19TH LN S Bldg I Parcel Number: 797880 0460
Project Description: Installation of ERV&controls in units 25,26,27,&28.
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? 2000 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 4
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:
410At*
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104374-00-EL Address: 33004 19TH LN S Bldg I
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.
0 UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) Cl Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
Final-Electrical(4055)
Approved
By(---i Date GI_7e__.(Ej
ID Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
SEP 0 2 2016
CITY OF FEDERAL WAY ELECTRICAL
FeY deral Way c 0 (( PERMIT APPLICATION
t
PERMIT NUMBER /4 — /O 543 7 V- E c--
SITE ADDRESS:.. 19th Lane S BuildingI Federal WayNDts 25,26,27,
Units 25, 27,28
PROJECT VALUATION ASSESSOR'S TAX/PARCEL N CURRENT/PROPOSED USE
2000.00 7 9 7 8 8 0 - 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 E•MAI.
600 Andover Park W STE D dana@kcha.com
CITY STATE TIP FAX
Tukwila WA 98188 ( ) -
NAME PRIMARY PRONE
Riverton Electrical Services ( 206) 280- 0371
MAILING ADDRESS E-MAIL
ELECTRICAL 4116 s 131st st will@rivertonelectrical.com
CONTRACTOR `kwila WA 98168 FAX
( ) -
WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
RIVERES851 LA 6/ 01 /2017 20.16-104159-00-bI
NAME PRIMARY PRONE
APPLICANT Riverton Electrical Services (206 ) 280 - 0371
MAILING ADDRESS E-MAIL
4116 s 131st st will@rivertonelectrical.com
env STATE INP FAX
tukwila WA 98168 ( ) -
NAME PRIMARY PRONE
PROJECT CONTACT Will Gillispie (206 ) 280 -0371
I certify under penalty of perjury that I am the property owner or authorised 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 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 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 clatny,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: IJI.t l)O' DATE 8/31/2016
PRINT NAME: Alay Boggs
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