21-100213City of Federal Way
Community Development Dept
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
F I I -
Project Name: INSTITUTE FOR FUNCTIONAL MEDICINE -SUITE 600
Project Address: 505 S 336TH ST
Project Description: moving access control panel to new room
Electrical
Permit #:21-100213-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0270
Owner
Applicant
Contractor
PH FOUNTAIN PLAZA ASSOC LLC
BRADEN COWANROBBLEE'S TOTAL
ROBBLEE'S TOTAL SECURITY INC
PO BOX 5003
SECURITY INC
ROBBLTS994JD (4/5/21)
BELLEVUE WA 98009
751 TACOMA AVE S
751 TACOMA AVE S
TACOMA WA 98402
TACOMA WA 98402
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Electrical Fixtures
Low Voltage - Other (Commel 1
PERMIT EXPIRES Saturday, 22 January, 2022
Permit Issued on Fri January 22, 2021
I hereby certify that the above informati&na
t the construction on the above described property
and the occupancy and the use will bord ce h the laws, rules and regulations of the State of
Wshind the City of Federal Way.
Owner or agent: Date:
A��
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100213 00
Address:
505 S 336TH ST Unit 600
Project: R11 FOUNTAIN PLAZA ASSOC .LLC
FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -site.
DO NOT LOSE THIS CA10). 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.
❑
UFER Ground (4295) 2❑
Ditch cover (4030)
❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
❑
Temporary Power (4275)
El Pool Bonding (4195)
❑ Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By Date
❑ 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
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date