17-105125 Electrical
CommunniityDeveopm�ent Permit #:17-105125-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NORTHWEST KIDNEY CENTER
Project Address: 33820 WEYERHAEUSER WAY S Parcel Number:215466 0040
Project Description: Install new low voltage HVAC energy management controls.
Owner Applicant Contractor
MIR DEVELOPMENT STEVEN BROWNEPIC ELECTRIC INC EPIC ELECTRIC INC
6725 116TH AVE NE SUITE 100 PO BOX 357 EPICEI.033LF(6/6/19)
KIRKLAND WA 98033 SNOHOMISH WA 98291 PO BOX 357
USA SNOHOMISH WA 98291
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Other(Commel 1
PERMIT EXPIRES Tuesday,23 October,2018
Permit Issued on Monday,October 23,2017
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 accor.-• - with the laws, rules and regulations of the State of
Washington -nd . e City of Federal Way.
Owner or agent: ` Date: lc, 23/,-T
THIS CARD IS TO REMAIN ON-SITE -
FeOF ra1 Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105125 00 Address: 33820 WEYERHAEUSER WAY S Unit 101
Project: HERON PARTNERS LLC FEDERAL WAY WA 98001
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. 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) ; 0 Ditch cover(4030) .•
El
El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date ; By Date By Date
04
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date '•By Date
O Feeders/Sub-panels(4045) '! ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date �i`By Date
10 Final-Electrical(4055)
Approved
By Date 1 ti I lar(11
•
0 Rough Electrical 0Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF OCT 2 3 2017
Federal Way PERMIT APPLICATION
CI Y OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ .5— _
SUITE NIT/SPACE#
SITE ADDRESS: 3382.o W EY R H AEU S ErZ wAy oa
PROJECT VALUATION �Q ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
14t4 - -- 5 `/ C _ •( l3 '-/ 0
NAIVIE
NAE r- .
(Tenant or Homeowner Last Name) EJ L w Ay �- NO iL114 L)EST KIS)ea Ey C 7 Ks
'TEO t+-t P20J E RE — LC Jo c.--noa
PROJECT DESCRIPTION �v'A c E&Y I�(AV�PtG�--�(� `►"� CCv3 sPoL.S
Detailed description of work to
be included on this permit only
NAME _ _ PRIMARY PHONE
PROPERTY OWNER ��0 �= L�L L� 6�(� A-) ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
(
NAME - PRIMARY PHONE
eft c ELS CIN/Cl C r 1.1c. (360)518 - 54135—
MAILING
t sMAILING ADDRESS E-MAIL
ELECTRICAL FO. 6044 35 7eP
celec.ri cegol.c e M
CONTRACTOR CITY STATE ZIP FAX
�No
1.10 rt.t 9 t( �A 98291 ( . )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GP'�E
NAME PRIMARYPHONE
APPLICANT (L12513q3_ S l S
MAILING ADDRESS E-MAIL
?.a• ( c 357 s ue NraLAJA eeert4 'I-Iltd.
CITY STATE ZIP FAX
Sb3cmbrttsl4 wA 982.5( (
PROJECT CONTACT NAME PRIMARY PHONE
S'[,EvE f3(zow13 (t 2s) St 3- s 8 s"
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 •' • • a part of this appli•
IOW
SIGNATURE: Adir DATE to/23 it 7
PRINT NAME: s ve{v ~• 3 fac)lJa N
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application