13-104027City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 ' Electrical
Permit #: 13 -104027 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: THE COMMONS APARTMENTS ,140
Project Address: 111 S 337TH LN Parcel Number: 132203 0210
Project Description: 125 amp panel replacement
Owner
Applican
Contractor
ERP OPERATING LIMITED PAR
D & R ELECTRIC
D & R ELECTRIC
111 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
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 (D 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 the City of Federal Way.
Owner or agent a Date:
r.
g
THIS CARD IS TO IN ON-SITE
CITY of Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
13 -104027 -00 -EL
Address: 111 S 337TH LN
Project: 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.
Final - Electrical (4055)
Approved
By VxQ I (3
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E:]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By VxQ I (3
Pool Bonding (4195)
Temporary Power (4275)
E:]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By VxQ I (3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
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ELEC'T'RICAL
PERMIT APPLICATION
SITE ADDRESS: f 1 1 S -3 L I S I
SUITE/UNlT/SPACZ#
PROJECT VALUATION
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ASSESSORS TAX/PARCEL #
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
h
i U PA inn (W1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
G 2 e'< l
PROPERTY OWNER
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PRIMARY PHONE
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MAILING ADDRESS
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STATEZIP
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FAX
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ELECTRICAL
CONTRACTOR
NAME
NAILING ADDRESSIfi
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CITYSTATSPq31f6q
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FAX
(36o) T76 - 737
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE
'C £ L L) CQ M5
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAII DIG ADDREss
E-MAIL
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAMEi
M e M C �U i e
PRIMARY PHONE
(503) 75 $- --) ZQ
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 c(ityp as a part of this application. Q
SIGNATURE: W L q, �l " DATE V� 0 I
PRINT NAME: � cy b av o- i e- 4-f Y'
Bulletin # 160 — January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application
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