18-102201Electrical
GtyufFederalWar Permit #:18 -102201 -00 -EL
Community Development Dept.
33325 &h Ave S
Federal War, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: TWIN LAKES APARTMENTS BLDG 4
Project Address: 3330 SW 320TH ST Parcel Number: 132103 9072
Project Description: Replace laundry panel and add (1) circuit. Move circuits for downstairs laundry.
Owner
Applicant
Contractor
TWIN LAKES APARTMENTS
PATRICK BROWNELLC M E ELECTRIC
C M E ELECTRIC LLC
PO BOX 391
LLC
CMEELEL865QE (11/5/18)
MOUNT VERNON WA 98273-0391
1716 57TH AVE NE
30262 225TH AVE SE
TACOMA WA 98422
BLACK DIAMOND WA 98010
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Multi -family 5
PERMIT EXPIRES Thursday, 23 May, 2019
Permit Issued on Wednesday, May 23, 2018
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: % Date: �Z-'�3 IK 25
r
CJTV CW
Federal Way
PERMIT #: 1810220100
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 3330 SW 320TH ST Bldg 4
Project: TWIN LAKES APARTMENTS FEDERAL WAY WA 98023
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.
El
UFER Ground (4295)
Fil
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
0
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
Fil
Temporary Power (4275)
®
Service (4235)
0
Approved
Approved
Approved
By
Date
By
Date
By
Date
7❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)9❑
Final Electrical
Ceiling Cover (4020)
0
Approved
Approved
Approved
By
Date
By
Date
By
Date
t Final - Electrical (4055)
Approved
By Date a
Rough Electrical
Final Electrical
0
Right of Way
Approved
I
Approved
Approved
By
Date
I By
Date
By
Date
40k
CITY OF
Federal Way
RECEIVED
MAY 2 8 1018
CITY OF (AMMUNT Y DEVELOPMENT
ELEC'T'RICAL
PERMIT APPLICATION
PERMIT NUMBER1 9 _ ! C, -Z, G C
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 this application.
SIGNATURE: f� G'� '" DATE
PRINT NAME:
Bulletin 9160 -April 14, 2016 Page 1 of l k:AHandouts\Electrical Permit Application
SUITE/UNIT/ SPACE #
SITE ADDRESS: oc C
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
3 2( 0 3_ q v -1 2
PROJECT NAME
(Tenant or Homeowner Last Name)
Y -
fie- 2-r'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
T>,� e
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
NAME
r- I
PRIMARY PHONE
( );;k -e -'
MAILING ADDRESS
E-MAIL
ELECTRICAL
P 70 JERE
CITY
STATE
ZIP
CONTRACTOR
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
:Q
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
17 & .r -t, A, eG
CITY
SSTAT�E
Ti
ZIP �j
FAX
PROJECT CONTACT
NAME
i�
PRIMARY PHONE
( ) 0-56 7
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 this application.
SIGNATURE: f� G'� '" DATE
PRINT NAME:
Bulletin 9160 -April 14, 2016 Page 1 of l k:AHandouts\Electrical Permit Application