15-103701� � T
y Electrical
City of Federal Way Permit #: 15 103701 -00 -EL
Community 8 Econ. ev. Services
33325 8th Ave S FILE Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: TWIN LAKES APARTMENTS
Project Address: 3300 SW 320TH ST Parcel Number: 132103 9072
Project Description: Lighting retrofit***REVISED 4/5/16 TO INCLUDE NEW WIRING UP TO (30)
CIRCUITS for 4 -apartment buildings***
Owner
nlicant
Contractor
MARILYN GILBERT
M JONES ELECTRIC
M JONES ELECTRIC
TWIN LAKES APARTMENTS
27726 131 ST CT SE
MJONEJE90400 (9/20/16)
PO BOX 391
KENT WA 65080
27726131ST CT SE
MOUNT VERNON WA 98273-0391
KENT WA 65080
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 30
Is Use Educational or Institutional? ....................... No
CONDITIONS:
Per discussion w/contractor, to avoid further confusion it was determined that all buildings could be inspected
on single permit; original application included circuits for all 4 structures and fees were paid accordingly.
PERMIT EXPIRES Wednesday, April 5, 2017
Permit Issued on Tuesday, July 28, 2015
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 `� R0 Date: y—'r- (r,
t
CITY OF
Federal Way
PERMIT #:
Project:
0 ` TMS' CARD IS Tor,
O ON-SITE .
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
15 -103701 -00 -EL Address: 3300 SW 320TH ST
MARILYN GILBERT FEDERAL WAY, WA 98023-2294
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as.clase to sequential order as
possible (read felt 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
By
Approved
Approved to place concrete
By
Date
By
Date
By'
Date
13 Final - Electrical (4055)
Approved
Date
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
Ll
By
Date
By
Date
By
Date
❑
❑
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
13 Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
carr OF V&
Federal Way
PERIUT NUMBIM
ELEC'T'RICAL
PERMIT AP%jFION
1r
JUL 2 8 2015
SITE ADDRESS: 3-3a0 3 2 0 t H I=e;D c R>q L W A Y vU,l
*Ufft/ A
PROJECT VALUATION
ASSESSOR'S TAX/PAR EL i O s ,^
CURRENT/PROPOSED USS
PROJECT NAME
enant or Homeowner Last Name)
TwiN o v� _ S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
C-1 KT 4
PROPERTY OWNER
NAM n
TW IN I- R Z -A
PRIMARY PHONE
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WAHJNO ADDRESS
rIXAIL
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
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pal 1 Z33
NAMING ADDIESS
Z77Z (o r 1 S
EMAIL
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W
QSQTE ZIP Q
lE7tPnuTIoN
t FAX
WA STATE CONTRACTOR'S LICENSE f DATE
FWERAL WAY SOSINSSS LICENSE I
APPLICANT
NAl[E
MRKS N A LL L jot4C S
PRIMARY PHONE
S3 (Z,7<e 1- I?-
IfAMING ADDRESS
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STATS
ZIP
FAX
PROJECT CONTACT
NA iIE
PRII[ARY PHONE
I certgy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certifrj that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy 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
constv,uction 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 the city, including its officers and employees, upon the accuracy of the
information supplied to the cj�y as a pg�t of�hjs n.
SIGNATURE:
PRINT NAME:
7- Z8-15
Bulletin # 160 — January 1, 2013 Pagel of 2 k:lHandoutslElectrical Permit Application