13-104022_ 3Electrical
City of Federal Way w c
Community & Econ. Dev. Services r D ermit #; A 1 3- ,/ 1 04022-00—E L
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p �
Project Name: THE COMMONS APARTMENTS "17)
Project Address: 117 S 337TH LN Parcel Number. 132203 0050
Project Description: 125 amp panel replacement
Owner
ARRIicant
Contractor
ERP OPERATING LIMITED PAR
D & R ELECTRIC
D & R ELECTRIC
117 S 337TH LN
13215 SE MILLPLAIN BLVD C8-314
DRELERE946M5 (10/1/14)
FEDERAL WAY WA
VANCOUVER WA 98684
13215 SE MILLPLAIN BLVD C8-314
98003-4504
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 (T 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
Ir and the City of Federal Way.
Owner or agent: I I Date:
CITY OF
Federal Way
PERMIT #:
13 -104022 -00 -EL
THIS CARDIS TO IN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 117 S 337TH LN
Project: FEDERAL WAY, WA 98003-4504
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)
Temporary Power (4275)El
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E] Final - Electrical (4055)
Approved
By V\0 Date 21
Pool Bonding (4195)
E]
Temporary Power (4275)El
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E] Final - Electrical (4055)
Approved
By V\0 Date 21
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
PERMT NUMBER I _?�
_ i04027z _oo
ELEC'T'RICAL
PERMIT APPLICATION
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOOjWS TAR/PARCEL #
O
CURRENT/PROPOSED USE
+
PROJECT NAME
(Tenant or Homeowner Last Name)
h
e U
e0 k u.c \ Z5 a(XC1s
2 Gl e 1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM E
C iY1 fl (� 1(1 S !n Pfi
PRIMARY PHONE
($'W q j 5 -7-c5q9
\
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MAILING ADDRESS
k 90 S -3�b St
E-MAIL
Pan+hzridq �e
CITY
'Fede+raA vU a,
STATEZIP
\Au A
`19033
FAX
( ) -
xAME 4 Y�� Ek -e L% , �-
( 360) d EY P X 111
MAILING ADDRESS
i�� Z 1 c-� S C t t\ 9 k ck \� b\4 3t%
I E -
1 V e( e C C 0 St -
ELECTRICAL
CITY
STATE,
6
IA-
ZIP
FAX
CONTRACTOR
CL. \( ou v�V-
( �► 73 7
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE
-M.£ L 1)Lj (9 M5 ('0 15
FEDERAL WAY suannss LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( I -
MAILING ADDRESS
E-MAIIL
CITY
STATE
ZIP
FAX
(
PROJECT CONTACT
NAME
M ;�� c � .e
PRIMARY PHONE
(503) 25 S- -7 2p
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 cityasa part of this application. Q `
SIGNATURE: 1l �" DATE v� I
PRINT NAME: b oy b a V Ci e -f +ixt Y'
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: HandoutsTlectrical Permit Application
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