13-104021City 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: T I o ( S. ?J 1-X4%e—
Project Description: 125 amp panel replacement
T., I
Electrical
Permit #: 13 -104021 -00 -EL
Inspection Request Line: (253) 835-3050
z✓W'a'i
Parcel Number: 132203 0010
Owner
ARplican
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 (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 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: 1;Date:
a a am MM
r �.
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOrAMIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104021 -00 -EL Address: 101 S 334TH ST
THE COMMONS APARTMENTS FEDERAL WAY, WA 98003
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
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
Approved
Approved
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 Mtg Date to f t 13
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
PERMIT NUMBER L ✓
10fp21 _60
ELEC'T'RICAL
PERMIT APPLICATION
�p
SITE ADDRESS: 15 3 3 L a n e. F Pd Y cd W a
SUITE/UNIT/SPACE#
PROJECT VALUATION
�2goo, 00
ASSESSOR'S TAR/PARCEL #
t _32 Off_ O 0
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)Th
e ( 0 M M lw s A P�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
e, 0 cj-CV\ Z5 o'Re)ts -rav"
2 6 0, W Ck n e<
PROPERTY O R
> I \\
/
J
NAME-
- e C 0 VA (10 V1 S CAP
PRIMARY PHONE
(9'4 U) 915 -ZS L1
MAILING ADDRESS
1 0 S 3 1b st
E.�L
P un-� h e r. d ej e Q e
CITY
�t,d e i ck.� vU Q1\AjR
STATEZIP
°1 S M 3
FAR
( ) -
ELECTRICAL
CONTRACTOR
NAME TD C f I -
PHONEI 1 1
M&771
MAILING ADDRESS
its �� A c-5 S C t t\ 9 1 o 1✓% b\4 3 t%
E_MAIL(j1l
d V e( e C &C e}'1' m Sf.
CITY
CLM,00v- v,
STATE
ul
ZIP
Rl�tvey
FAX
(36o) 16 - 073 7
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
E: LE 6)zlCo M5
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME�, ^
a
PRIMARY PHONE
( ) -
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
/ FAX
1 ) -
PROJECT CONTACT
NAME ,� �t
M t e. I ► 1
PRIMARY PHONE
(503) 215 S- '126
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
� �/�/ \ citty�as apart of this application.
SIGNATURE: ZO , W DATE
PRINT NAME: b cV b av CL Le ++ fl -q- Y
Bulletin # 160 - January 1, 2013 Page 1 of 2 U IandoutsTlectrical Permit Application
(M
net -