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23-104524City of Federal Way Community Development Dept 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: SLEEP SOLUTIONS DENTAL NW Project Address: 32114 1ST AVE S Electrical Permit #:23-104524-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: 926450 0033 Project Description: Add (3) circuits; add (5) floor outlets and other outlets on existing circuits; relocate some switches and install under cabinet lighting. Owner _ Applicant Contractor Al BUI NICOLAE CEBANN C WIRING N C WIRING ELECTRICAL LLC 13500 SE 266TH ST ELECTRICAL LLC NCWIRWE776ML (7/13/25) KENT WA 98042 1200 S GRANT AVE S APT U 101 1200 S GRANT AVE S APT U 101 RENTON WA 98055 RENTON WA 98055 Additional Permit Information Is this an Online or O.T.C. application? .................. No Electrical Fixtures Circuits - Commercial 5 PERMIT EXPIRES Tuesday, 5 March, 2024 Permit Issued on Thursday, September 7, 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 Washington and the City of Federal Way. Owner or agent: ® i _�k cur Of Federal Way THIS C LRD IS TO REMAIN ON -SITE Construction Inspection Record INSPECTION REQUESTS: (253) 335-3050 Scheduled inspections ina-: be failed if this card is not on -site. DO NOT LOSE THIS CARD. E+ispections are listed as close to sequential Order as possible (read lei to right. top to bottom). Please schedule inspections as appropriate. Work niust not be co%ered until it is approved. Check with your inspector if you are unsure about an7, of the inspections or the inspection sequence. On -going inspections are IoQQed on the back of this card_ ELECTRICAL ❑ LIFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (42-53) Approved Approved Approved to place. concrete B} 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) ❑ Ceiling Cover (4020) B`- Approved Date By Approved Date /J ` By pproved Datezz El Final - Electrical (4055) Approved By Al-Z Date 4 MECHANICAL ❑ Mechanical Rough -in (4165-) ❑ Gas Piping (4125) ❑ Final - -Mechanical (4065) Approved Approved to release test Approved By Date By Date Bv° Date PLUMBING ❑ Plumbing Groundwork (4190) Q Roush Plumbing (4230) 0 Final - Plumbing (4075) Approved to corer Approved Approved By Date By Date By Date *4,61 Federal Way f Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE AooreEss: 9all� ✓ S pERMIr„. zJ io! �sav 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 BE MADE WITHIN 15 DAYS. 1"J-/9-ZI x�,"/ DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY OF Federal Way Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: / t�G PERMIT#:�`10��-� ;-Zeq z 411�7 r Ii-QrY 1/111 �r Ill�'!'�i.�t, i� '•,► C�sq.��r rrr 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 BE MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of RECEIVED ELECTRICAL CITY OF Federal Way SEP 0 7 2023 PERMIT APPLICATION CITY OF FEDEF3AL WAY ..IMMUNITY QEVEi ❑PMENT PERMIT NUMBER A 3 SITE ADDRESS' SUITE/UNIT/SPACE # PROJECT VALUATION $ 00 ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) _ I_ r _ 1t © PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME�7 19 T ( PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL �l CITY STATE ZIP ( FAX NAME, / /I 1X� WC17L �CMIC4L 41 C (21 ) 6 5_ PRIMARY PHONE 0 MAILIINVG ADDRESS - „S � E-MAIL 0 he lY/[ r- f Ic L ELECTRICAL CONTRACTOR CITY t,e STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE NC U'/l _. 4 /qL o �3 �1oz UBI # - APPLICANT NAME PRIMARY PHONE MAILING ADDRESS / ,-/ 2 ® woe, mt1/-e E-MAIL CITY STAT,E(�{J_ ZIP AX - PRIMARY PHONE ,y�J (2 � ) 3 3 - �7 f �" PROJECT CONTACT NAME �/ y� / - Vl P\ l l - - 2 3 2 / � �/ 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: PRINT NAME: I]ATE a o 2 3 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com _ME 44 ta Bulletin #160 —April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application