16-104367 Electrical
City of Federal Way FINALED
Community&Econ.Dev.Services Permit #: 16-104367-00-EL
33325 8th Ave S
Federal Way,wA 9soo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EVERGREEN COURT APARTMENTS BUILDING A
Project Address: 33003 19TH LN S Bldg A Parcel Number: 797880 0460
Project Description: Installation of ery& fan switch in units 1,2,3&4.
•
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:
THIS CARD IS TO REMAIN ON-SITE
41A.
CITY
Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104367-00-EL Address: 33003 19TH LN S Bldg A
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.
LIFER Ground (4295) 0 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) Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) 0Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
El Final-Electrical(4055)
Approved
B1/41.- .. Date Gt.... ._(c,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
SEP 022016
CITY OF A CITY OF FEDERAL WAY ELECTRICAL
Federal Way CDS PERMIT APPLICATION
' �A , PERMIT NUMBER /� - / 0 ✓ _Q 7 - E
�jC/snY/JK Y'
SUITE/UNIT/SPACE II
SITE ADDRESS:
19th Lane S Building A Federal Way Unit 1,2,3 4
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ 2000.00 7 97 8 8 0 - 0 4 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 VP FAX
Tukwila WA 98188 ( ) -
NAME PRIMARY PHONE
Riverton Electrical Services ( 206) 280 0371
MAILRO ADDRESS E-MAIL
ELECTRICAL 4116 s 131st st will@rivertonelectrical.com
CONTRACTOR Tukwila WA 98168 FAX
( )
WA STATE CONTRACTOR'S LIM?,NBB 1I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i
RIVERES851LA 6/ 01 /2017 20-16-104159-00-b1
NAME PRIMARY PRONE
Riverton Electrical Services (206 ) 280 - 0371
APPLICANT
MAILING ADDRESS EMAIL
4116 s 131st st will@rivertonelectrical.com
CITY STATE EI' FAX
tukwila WA 98168 ( ) -
PROJECT CONTACT
NAME PRIMARY PHONE
Will GillisP
le (206 ) 280 _0371
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I cartery that to the best of
my knowledge,the inlforntation 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 Wad as to any claim(including costs,=greases,and attorneys'fees incurred in
the investigation and defense of suck 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 a part of this application.
SIGNATURE: cAttr . ( o-i.t .. DATE 8/31/2016
PRINT NAME: Alay Boggs (1 Q
PERMIT CENTER+33325 8m Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter*ityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 Ic\Handouts\Electrical Permit Application