23-102629Electrical
City of Federal Way �Yf •
CommumtyDevelopment Dept. Permit #•23-102629-00-EL
33325 Sth Ave S FILE
Federal Way. NYA 99003
Ph: (253) 835-2607 Fax. (253) 836.2609 Inspection Request Line: (253) 835-3050
Project Name: DAVITA Suite A
Project Address: 31811 PACIFIC HWY S Parcel Number: 082104 9126
Project Description: Installation of seven (7) thermostats for DaVita Dialysis.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES
ALEX BURKHARTLVERGREEN
EVERGREEN REFRIGERATION LLC
PO BOX 2708
REFRIGERATION
(ELECTRICAL)
PORTLAND OR 97208
727 S KENYON ST
EVERORLS13MA (711R3
SEATTLE WA 98108
727 S KENYON ST
SEATTLE WA 99108
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Thermostat 7
PERMIT EXPIRES Tuesday, 14 November, 2023
Permit Issued on Thursday, May 18, 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
s ' ton the f Federal Way.
9
Owner or agent:U fN C' oDate:
G tie O�
Federal Way
THIS CARD IS TO REALALN O1-SITE
Construction Inspection Record
INSPECTIO:ti REQUESTS; (253) 835.3050
Scheduled inspections =-' be failed if this card is not as -We. DO NOT LOSE THUS CARD. laspecEions are listed as close to sequential order is possible
(read left to right. top to bottom). Please schedule inspections as appropriate. Work tout not be co-vered until it is approved. Check %dth your inspector if
you are unsure above my of the iwpectioas or the inspection sequence- Oa -going inspections are logged on the back of tI is card.
ELECTRICAL
❑
LIFER Ground (4295)
❑
Ditch cover (4030)
❑
SlablCoucrete Floor- (4255)
Approved
Approved
Approved 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)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
BS
Date%✓r
By
Date
Final - Electrical (405-5)
By
ppro�cd
Date
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)
❑ Final - Plumbing (4075)
Approved to cover
Approved
Approved
By Date
By Date
By Date