18-104902City of Federal Wry a.y
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: TWIN LAKES APARTMENTS UNIT 31
Project Address: 3330 SW 320TH ST
Project Description: Electrical work to include changing out a panel
Electrical
Permit #:18 -104902 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 132103 9072
Owner
Applicant
Contractor
TWIN LAKES APARTMENTS
PATRICK BROWNELLC M E ELECTRIC
C M E ELECTRIC LLC
PO BOX 391
LLC
CNIEELELS65QE (11/5/20)
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
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Thursday, 17 October, 2019
Permit Issued on Wednesday, October 17, 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: '� "
enry or THIS CARD IS TO REMAIN ON-SITE
4 ,
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERbHT #: 18104902 00 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)
0
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Ceiling Cover (4020)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Apprmed
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date( �. �..
Rough Electrical
Final Electrical
E]Right of Way
Approved
Approved
Approved
By
Date
By
Date
By Date
RECEIVED
cirY of
OCT 17 2018 ELECTRICAL
Federal Way; FDzwAYNT PERMIT APPLICATION
COMPM
PERMIT NUMBER _ V Q
SITE ADDRESS: '7J �0 5,> 3 �� c74
SUITE/UNIT/SPACE #
,/ 3
PROJECT VALUATION
$
ASSESSOR'S TAX/PARCEL #
1-32 1 o 3- U 7 Z
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
cr-
PROPERTY OWNER
NAME
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
)
ELECTRICAL
CONTRACTOR
NAME
C.wL �`� L,LC
PRIMARY PHONE
�) -
MAILING ADDRESS
/" O / 769
E-MAIL
int 4-X-1, C1 x -c
CITY
P3 r�� eo
STAT
ZIP
fro
FAX
) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
•" (� ��
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
�� b
PRIMARY PHONE
( ) W7 - e:5 r.
MAILING ADDRESS
'F1't c32
E-MAIL
CITY
(J�
STATE
ZIPQ''')�
FAX
PROJECT CONTACT
NAME
f. fl 0- CG
PRIMARY PHONE
(Z5'3) 9( _ &0-
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 authorised 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 a part of this application.
SIGNATURE: �—
PRINT NAME:
Bulletin # 160 — April 14, 2016
Page 1 of 1
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