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13-104024N City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: THE COMMONS APARTMENTS Project Address: 125 S 337TH LN Project Description: 125 amp panel replacement Electrical Permit #: 13 -104024 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 132203 0070 Owner ARRlican Contractor THE COMMONS APARTMENTS D & R ELECTRIC D & R ELECTRIC 125 S 337TH ST 13215 SE MILLPLAIN BLVD C8-314 DRELERE946M5 (10/1/14) FEDERAL WAY WA 98003-6220 VANCOUVER WA 98684 13215 SE MILLPLAIN BLVD C8-314 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 0 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 tz Federal Way. R Owner or agent: Date: CITY OF 4A�� Federal Way PERMIT #: Project: • THIS CARD IS TOIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 13 -104024 -00 -EL Address: 125 S 337TH LN THE COMMONS APARTMENTS FEDERAL WAY, WA 98003-6220 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)Ditch cover (4030) Temporary Power (4275) Slab/Concrete Floor (4255) E:] Approved By Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding (4195) Temporary Power (4275) E:] Service (4235) By Approved By Approved By Approved By Date By Date By Date Feeders/Sub-panels (4045) Approved By Date Final - Electrical (4055) Approved By KA 13 Date 9I2b + (? Rough Electrical (4225) Approved By Date Ceiling Cover (4020) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way -� Approved By Date By Date By Date CITY OF A Federal Way ELECTRICAL PERMIT APPLICATION PERMIT NUMBER / _ I L/ K �t _ 00 SITE ADDRESS: 125 S ?J 3 -1 c. SUITE/UNIT/SPACE. PROJECT VALUATIONASS S TAR1PARCEL i � C CURRENT/PROPOSED USE _ PROJECT NAME (Tenant or Homeowner Last Name) e roc (\ 25 MA6S - ov` 64eO 2 � 0,e PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME ` �1 C 0 YYt (10 V1 S CAP t' PRIMARY PHONE (g,� (p) 91-5 —ZS L) 03 O� � MAILING ADDRESS -gib 1 ° I0 S 3 st E-KAIL Pun�hcrid�je ®e C= 1;F -e d e r CA vU STATE ZIP 9 S Cb 3( FAX ) - NAME t l "r PHONE I I ( V) 7q&7 Ila MAILING ADDRESS l� Z i C:5S C i ((� o, \ ✓� b\ 3 t % E-MAILELECTRICAL ((e e c Q } cci st- CONTRACTOR CITY � STATE IA-q��y zEp FAX � CLM,©v v� w (�6�) 6 -073 7 WA STATE CONTRACTOR'S LICENSE N F"IRATION DATE -bi: L�3: ►Li U M5 FEDERAL WAY BUSINESS LICENSE • NAME PRIMARY PHONE APPLICANT C c� ( ) - MAILING ADDRESS E-MAIL. CITY STATE ZIP / FAX 1 ) - PROJECT CONTACT01 NAME 6 r\A c �\)l e A PRIMARY PHONE (503) 5-1. 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 locai, 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 tpo, the ciityp as a part of this application. SIGNATURE: `l--�lA/� 1 W 1!V �--- DATE �TI PRINT NAME: a V e Bulletin # 160 — January 1, 2013 Page 1 of 2 k: lHandoutsElectrical Permit Application COA net -