17-104209 1
pt. Electrical
ComCity of Federal Way Permit #:17-104209-00-EL
munity Development De
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: AVERY AT THE RESERVE APARTMENTS BLDG 12 UNIT 202
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: Replace lighting,range hood,dishwasher and GFCI outlet
Owner Applicant Contractor
CA RESERVICE OWNER LLC HI VOLTS ELECTRIC LLC HI VOLTS ELECTRIC LLC
3990 RUFFIN RD SUITE 100 34008 9TH AVE S SUITE 120 HIVOLVE884KN (5/15/18)
SAN DIEGO CA 92123 FEDERAL WAY WA 98023
34008 9TH AVE S SUITE 120
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
R. a
Circuits-Multi-family 4
PERMIT EXPIRES Thursday,30 August,2018
Permit Issued on Wednesday,August 30,2017
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: (3\ Date: 8/10/j
.7-
I,-,
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104207 00 Address: 125 SW CAMPUS DR Bldg 01
Project: CA RESERVICE OWNER LLC FEDERAL WAY WA 98023
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.
® UFER Ground(4295) ID Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) El Temporary Power(4275) ® 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 DateBy Date By Date
, ,
10 Final-Electrical(4055)
Approved
By Date 8 3l l7
•
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF A RECEIVED CCIVGcc® ELECTRICAL
Federal Way PERMIT APPLICATION
AUG 3 0 2017
CITY OF FEDERAL WAY PERMIT NUMBER ( - 1 0 4.2 0 9 D
COMMUNITY DEVELOPMENT — — 111 —
SUITE/UNIT/SPACE#
SITE ADDRESS: ‘Z
PROJECT VALUATION ASSESSOR'S AX/PARCEL# CURRENT/PROPOSED USE
ti,et) 1 9 2.-- 1 04 _ 9 0 1 -1--
PROJECT NAME J�V7 41-TL' Scj e std IZ Uri. •
' f 2 0Z
(Tenant or Homeowner Last Name) AVe47
f ikilacQ <qq< . i Yea vi -e i it ! Di c L1 t.vashe -
PROJECT DESCRIPTION 1 - ®fit'I P4 c 9t)(' 12-
vNifi
Detailed description of work to
be included on this permit only
NAM:,*V f/ /� �/'�/� ,w PRIMARY PHONE
PROPERTY OWNER b 'W/A`�_ ( ) _
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME
PRIMARY PHONE
+4.1 U® led-tee_ LL (206) e� - I8-‘
MAILING ADDRESS E-MAIL
ELECTRICAL 340 ot � (9Q E-s' B-0 /07 0
CONTRACTOR CITY , STATE ZIP
FAX
i& QYa ( Wily y W )- q WW a3 3 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
H-zUDL()E czezikV 05 //- dry
E PRIMARY PHONE
APPLICANT C ai las On ppe� ( 6 ) �'S1 -71 k.6
E-MAIL
CITY STATE ZIP FAX
F:e_ d Yril.( 1014Y IT 8667-3 ( ) -
NAM PRIMARY PHONE
PROJECT CONTACT (I a Y 4,5 Oi pezo. WO6 ) j 7/5
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 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 ci a part of this application.
SIGNATURE: DATE cY A 0 7/
PRINT NAME: _A , 0 _ a v.,
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application