10-100170City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federai Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0
i Electrical
Permit #: 14 -100170 -00 -EL
Inspection Request Liner (253) 835-3050
Project Name: COMMONS APARTMENTS (fka PANTHER RIDGE)
Project Address: IDS s 3?-r—
Project Description: Installation of (4) lights for exterior signage.
Parcel Number: 132203 0010
Owner
ApRlican
Contractor
THE COMMONS APARTMENTS
77 ELECTRICAL SERVICES
77 ELECTRICAL SERVICES
190 S 334TH ST
2048 154TH AVE SE
77ELEES930DO (3/20/15)
FEDERAL WAY WA 98003
BELLEVUE WA 98007
2048 154TH AVE SE
BELLEVUE WA 98007.
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - CommerciaL................... 2
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Saturday, July 12, 2014
Permit Issued on Monday, January 13, 2014
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 agen �r.�G v�- o �-« Date: 0/—/ 3-2,el �
FINALED
THIS CARD IS TO AIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100170 -00 -EL Address: 100 S 334TH ST
Project: 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.
E]
LIFER Ground (4295)Ditch
cover (4030)
Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date 1—' :'"1
Pool Bonding (4195)Temporary
Power (4275)
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 Date 1—' :'"1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
0 PecmD ELECTRICAL
JAN 13 2014 pERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER _ ( D� �J -
1 ' �c.�
SITE ADDRESS: 1 9 a S 3'3 �t � �, r -�� 1 �� �+ � `� � Q "
SUITE/UNIT/SPACE #
PROJECT VALUATION
$600
ASSESSOR'S TAX/PARCEL # %)
-LLti 3 - 1
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
_
: V\
PROJECT DESCRIPTION
��'" C X f" `5 2 -
Detailed description of work to
be included on this permit only
iq +-I S , fes,_
�-
F,
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
..
7-7 —' ee Vt la S
PRIMARY PHONE
(^Go&) 1014 6
MAILING ADDRESS
1r p i S'l K -S
E-MAIL
ELECTRICAL
CITY
STATE
I ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
?71�1Lg, &S 3o b cel3o 1114
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
c. -a
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
(
PROJECT CONTACT
NAME��40&
o L
PRIMARY PHONE
( l
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 Iaws 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 claims), 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. G
S1 NN
DATE
PRIM NAME: �M+� �• �-�v►�
Bulletin #160 -January 1, 2013 Page i of 2 U.lIandoutsTlectrical Permit Application
11040 ,ECE1\WjcD
A
Federal Way FEB oos PERMIT
COMMUNI Y DEVELOPMENT SERVJCES Z
3332FEDERAENUE SOA 98063 BOX 9718 8 ` . C ATI O N
FEDERAL WAY, WA 98063-9718 VV
2131535 -,2,6071 -FAX 9y',,,,- FE�
iWo((ede n l' EWL
The following is required ir{&Ion - an incomplete application will not be
SITE ADDRESS 3 * ✓ 5 :3 % 3
ASSESSOR'S TAX/PARCEL # -7_(L l
r
•
SF MF CO ME EL PL DE ENO
Please print legibly (inor type-
SUITE/UNIT #
- ��- LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Atmch —p—de Page for lengthy Iegal descriptions
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING /FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit on
U (l,. OIAJC u
PROJECT NAME (Name of Business or Owner Last Name) 5jL)' vO PuW '
PEOPLE•• •
PROPERTY
NA
OWNER
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
� � ( �
('� ,Q
J L/
PRIMARY PHONE
( )
MAILING ADDRESS
CITY, STATE, ZIP
�R1� �'F! 9 X13
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAMEi
COLO � i TCR E lac,
APPLICANT NAME
OFFICE PHONE
(zoh) z3z - g5c c
�✓✓((
CITY, STATE, ZIP
�R1� �'F! 9 X13
CELL PHONE
(zCO) 5'7 375
OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
(2cYO) 3yo -6100
CONTRACTOR'S REGISTRATION NUMBER ESPIRATION DATE
C0L,AMfZ 62,M - _fj.tc
E-MAIL ADDRESS C 0- � /Ss
�lle�,/VV
coOFFICE
NAME
QL �1311� f/R� ��C
�NY
lJ+ i�Nf�tSc(t
PHONE
() 23L —�c
MAILIVG ADDRESS
jq0E 50 U 111
5 ilk 116uj A q! 3
t 2,x'5?/ - 6 3 75
RELATIONSHIPTU PROJECT �iR jN
�
❑ Architect ❑ Tenant ❑ Agent Other LW,1-9 ( C N
FAX �N��U��MBER
([J�) " 3%0 - �� 0c)
NAME �, �;, P PHON �C D Glc-�IMi"a$ 1QL•N£1
3i.sNbt (yam) zj2. `l�
NAME
Per RCW 19.27.095:
Lender igformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES V40,
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
PROPOSED USE
a I L,
VALUE OF PROPOSED WORK $ V //0 0 0 V
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? "Y ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHI.INE ❑ PRIVATE (SEPTIC)
1%►
PROJECT FLOOR AREAS
AREA DESCRIPTION
FMSTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IIYI MOVEM Iff
FIRST
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
c NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
r�sxma
sm mlwo
"MAL
rMALAMISMMsr
10rAL01WMV&r
TWALSF
—NEW HOMES ONLY"• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f fixture to be installed or relocated as part of this projecL Do not include existing f fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WrM APPUCA770M
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
BATHTUBS (—T.b/Shower Comm) IAVS (sach—.Swcs)
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (com—dap
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS Ir wet)
WASHING MACHINES
1 certify under penalty of perjury that 1 am the property owner or authorized agent qF the property owner. 1 cert4}y that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. 1 certtfg that 1 will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. 1 understand that the issuance of this permit
does not remove the owner's r esponsibilitg for compliance with local, state, or federal laws regulating construction or environmental laws.
1 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 a part of this application.
SIGNATURE:
Owner and7or Authorized
7-7-02
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IIYI MOVEM Iff
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
c NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - January 1, 2008 Page 2 of 4 MHandoutsTern it Application
,� �EIVED
CITY OF PERMIT %PPLICATION
Federal Way APR 2 9 2015
CITY OFCDSRAL WAY
PERMIT NUMBER /) ✓ —102
1d2 +vim S b _ TARGET DATE
SITE ADDRESS
3`'l OS 9 S . �,z gecc,\ WO, WA cqo1
SUITE/UNIT #
PROJECT VALUATION
$#
$-3,500
3 , 50o
ZONING
ASSESSOR'S TAX/PARCEL
7 —2 `�(^ —J,
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
S
PROJECT DESCRIPTION
AA it i� Cir
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
/
PRIMARY PHONE
MAILI AD S
E-MAIL
CITY
STATE
ZIP
N E
PHONE
/X -231- 95
MAILING ADDRESS
\` �y
E-MAIL
CONTRACTOR
CITY
kk� Q
STATE
WA
ZIP
�
JEXPIRATION
FAX
WA STATE CONTRACTOR'S LICENSE #
DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
c. At~
PRIMARY PHONE
ILOb - 231- 456
MAILING ADDRESS 11 �"
m S �l�CJ�� Y \
E-MAIL ` �•
APPLICANT
CITY
�+
STATEZIP
WA
to
FAX
PROJECT CONTACT
NAME
fI`C&2 9`�.
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
El OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 city as apart of thi application.
SIGNATURE: DATE
g
PRINT NAME: -
t:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application S)