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23-103409• City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical I Permit #:23-103409-00-EL FLE Inspection Request Line: (253) 835-3050 Project Name: CARBON HEALTH Project Address: 1750 S 320TH ST Project Description: Tenant Fit -Out for Carbon Health Parcel Number: 762240 0015 Owner Applicant Contractor MGP XI COMMONS FW LLC LUKAS MOTLIKNorthstar Electrical LLC NORTHSTAR ELECTRICAL LLC 425 CALIFORNIA ST 918 S HORTON ST SUITE 808 NORTHEL878QF (11/6/23) SAN FRANCISCO CA 94104 SEATTLE WA 98134 918 S HORTON ST SEATTLE WA 98134 Is this an Online or O.T.C. application? Circuits - Commercial Additional Permit Information Yes Electrical Fixtures 56 Add'l New Feeder(s) 101-200 1 Add'1 New Feeder(s) 201-400 ; l PERMIT EXPIRES Monday, 1 January, 2024 Permit Issued on Wednesday, July 5, 2023 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 W shin ton and the City of Federal Way. OOwner or agent: Date: CITY 01 �• -"-- -�� Federal Way THIS CARD IS TO RE\I_aI\ O\-SITE Construction Inspection Record INSPECTION REQUESTS: (253) S35-3050 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. Wort: nturst 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. ELECTRICAL ❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255) Approved Approved AyFp3i to place concrete By Date By Date By ! Date ❑ Pool Bonding (4195) ❑ Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) rBy Ceiling Corer (4020) appra ed roved ApprovedByDate ,,4 1 B} Date J Date ❑ Finai - Electrical (4055) �rf� i%�� N '� •�� el/�LLIr/ fat, ' Approved Bv MECHANICAL ❑ Mechanical Rough -in (4165)❑' Gas Piping (4125)❑ Final -'Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date PLUMBING ❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) 0 Final - Plumbing (4075) Approved to cover Approved Approved By Date By Date By Date �. CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98�- y Phone 253-835-2607 Faxx 253-83535-26092609 CORRECTION NOTICE ADDRESS: l7 fPERMIT#:�1� l IF YOU HAVE QUESTIONS CALL (253) 835- WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO Bf MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of