13-104025City 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: 102 S 337TH LN
Project Description: 125 amp panel replacement
0 ri `Electrical
Permit #: 13 -104025 -00 -EL
Inspection Request Line: (253) 835-3050
31N'a1
Parcel Number: 132203 0200
Owner
ApRlican
Contractor
ERP OPERATING LIMITED PAR
D & R ELECTRIC
D & R ELECTRIC
102 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
98003-6271
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 (I\ 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 informationis 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
F al;
of Federal Way.
Owner or agent: Date:
CITY ofOA� 0
Federal Way
PERMIT #: 13 -104025 -00 -EL
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 102 S 337TH LN
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.
Pool Bonding (4195)
Approved
By Date
❑ Temporary Power (4275)
Approved
By Date
UFER Ground (4295)
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
❑ Temporary Power (4275)
Approved
By Date
0 Final - Electrical (4055)
Approved
By y t3 Date t6 (1 1(3
Service (4235)
Approved
By
Date
0 Final - Electrical (4055)
Approved
By y t3 Date t6 (1 1(3
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
E]
Ceiling Cover (4020)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By y t3 Date t6 (1 1(3
Rough Electrical
Approved
n
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER
ELECTRICAL
PERMIT APPLICATION
4-0 275--- 00
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
200 • 0�
!"0, WS T 0ARC�,i, f _
T7!"0,
/�J/J! Ci O
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
The (U yNAQ Yv S Apf-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
2 Gk e 1
PROPERTY OWNER
NAME
c v rn n 0 s In P
PRIMARY PHONE
915 -ZS Ll
MAELJNG ADDRESS
i 90 5 -3 - b st
E•MAU.
par4hcr�dge 0e
CITY
,F -e d e r cel vU co,"
STATE
I\JJRI
ZIP
19 M 3
FAR
( ) -
ELECTRICAL
CONTRACTOR
NAMECt�� , �--
(Ao) d l� 111
MAILING ADDRESS
��� Z A C:5 SE t l\ 9 k Lk 1� b\ J 3t%
E -
d V ?-1 e C 0 }1 CQ Sf .
crySTATE
�aM-00v�V'
W�
ZIP
q3
FAX
(-3bc) T76 -0737
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
'D £ L'E K e °► Ll (q M5 (o / I�
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
CL,e.�OY
PRIMARY PHONE
MAILING ADDRESS
E -MAH.
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAMEi
M 1 e � C `�� I C
PRIMARY PHONE
(5a3) Z5 S- -12-0
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 cityas apart of this application.
SIGNATURE: `t- ) L 1 W/ l 0,j ~— DATE Q U_ �
PRINT NAME: 'j civ bav a- e +f rXZ
Bulletin # 160 — January 1, 2013 Page 1 of 2 kA IandoutsTlectrical Permit Application
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