13-104029city ofederal Way
Community & rcon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 13 -104029 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: THE COMMONS APARTMENTS -�)y 1$
Project Address: 114 S 337TH LN Parcel Number: 132203 0180
Project Description: 125 amp panel replacement
Owner
A n.�
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 (1\ 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
and tWhQkY of Federal Way.
Owner or agent: Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO J&kMAIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104029 -00 -EL Address: 114 S 337TH LN
THE COMMONS APARTMENTS FEDERAL WAY, WA 98003-6245
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)
0
Slab/Concrete Floor (4255)
13
Approved
Temporary Power (4275)Service
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Final Electrical
13
Temporary Power (4275)Service
(4235)
Approved
Approved
Approved
Approved
Approved
By
Date
By
By
Date
By
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
krJ Date 1-0(2-113
Rough Electrical
Approved
n
Final Electrical
11
Right of Way—�"
Approved
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
PMMU NUMBER _J✓ - (�0 D
av
ELEC'T'RICAL
PERMIT APPLICATION
SITE ADDRESS: 1 1 Ll 5 331— 1 c,� � -e-,) 1
SUITE/UNIT/SPACE #
PROJECT VALUATION
$2ga0.o�
ASSESSOR'S TAR/PARCELi
t.� 2 Z 0 _3_ C S�U
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
e U rn Q� S ��
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
e, _c �\ z.5 cl- (Ae\s c�
C' 2 CD a, Yvxeke 1
PROPERTY OWNER
NAME
C 0 rA (1 p V1 S CA P
.. PRIMARY PHONE
915 -ZS
MAILING ADDRESS
\ 00 5 3 b st
E -MATT,
Pan kc edge Oeqr
CITYSTATE
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WA
Z P
1 01 S CO 3
FAR
c ) -
ELECTRICAL
CONTRACTOR
NAME
T 1 \ � � 1. li 1 , C,
RIMARY PH
P j((fl/30111 1 1
(fjl
MAILING ADDRESS
V. -i -)Z "IC5 S C i 1 '� l Ck i, b\ d 31
1`,
V e( e C QM st.
CITT
uj�
��l��y
(36o) 1' F 0737
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
'C f: LE eHLJ(S M5 1p l5
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAME
PRIMARY PHONE
) -
MAU.ING ADDRESS
E-MAIL
CITY
STATE
ZIP
// FAX
1 ) -
PROJECT CONTACT
NAME
M 1 C 1U 1,e,
PRIMARY PHONE
(5iD3) ZcS S- -120
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 taws 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 city as apart of this application.
SIGNATURE:
PRINT NAME: _b0,V U a V p_ 1. - 1 1 VX9-yr
Bulletin # 160 —January 1, 2013 Page 1 of 2 UHandoutsTlectrical Permit Application
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