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17-106036City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2809 Electrical FILE Permit #:17 -106036 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: NW KIDNEY CENTER -FEDERAL WAY WEST Project Address: 501 S 336TH ST Parcel Number: 926480 0240 Project Description: New interior lighting, site lighting, receptacles, feeders and connection to dialysis water treatment equipment. Includes low -voltage wiring for fire alarm, security, CCTV and access controls. Owner Applicant Contractor ROSEN PROPERTIES NORTHSTAR ELECTRICAL LLC NORTHSTAR ELECTRICAL LLC P O BOX 5003 PO BOX 1909 NORTHEL878QF (11/6/19) BELLEVUE WA 98009 BOTHELL WA 98041 PO BOX 1909 BOTHELL WA 98041 Additional Permit Infonnation Is this an Online or O.T.C. application? .................. No Low Voltage(Commei I Low VoltageBurglar1 Voltage(Co PERMIT EXPIRES Saturday, 5 January, 2019 Permit Issued on Fridav, January 5, 2018 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 ashington and the City of Federal Way. Owner or agent: Date: //©r / FINALED ,4&cnw or 1100 Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 1710603600 Address: 501 S 336TH ST Suite 210 ROSEN PROPERTIES FEDERAL WAY WA 98003 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. El Slab/Concrete Floor (4255) 0 Rough Electrical (4225) Final - Electrical (4055) Approved to place concrete Approved Approved By Date t_ By Date Date INV a Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date I / (C) (7 -- RECEIVED IV, Cl" OF DEC 2 0 2017 E C R AL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION COMMUNITY DEVELOPMENT � � � � 00 PERMIT NUMBER _ SITE ADDRESS: 5�I 33 6 ST 1'� ��� `t"1 wA 9 jP00 3 SUITE/UNIT/$PACE # ! PROJECTVALUATION $) -t 150 R'$ TAR/PARCEL N ^ A 71,Q tjJt—/ (�— ©11)14(,yf1f � /PRO$E t _ PROJECT NAME (Tenant or Homeowner Last Name) � oe G FIF pW Y � � T L N;�- Vj z1 G lei ► WVJ S"0A 8441 Ili 4 kFW eIFJi °fit,—<s (bW:IFIZ (AMM '00-10')l 7_0 NE 4&i dR, PROJECT DESCRIPTION Detailed description of work to //,�T V be included on this permit only WW w p vprkc� 10(i gl � Q • O.• 4w") I WA, NVf f)F C^L f f S j7A,1 wt_� Al) A0 414F NAME K �' PRIMARY PHONE ) t06) PROPERTY OWNER MAILING ADDRESS 00 ���f �'`//�� E-MAIL $1Viy i`, I i{0tv1pfor" Aii�/ ill CITY Ve✓ IZIPC J I L FAX NAME JtilCl h (// � c r_lZ. 2p ) PRIMARY 32-,LJ C? MAPNFDD3�( p EMAIL ELECTRICAL CITY ;3077�k-� STATE �oq z>p C3 �) FAx (Wj 3Z-5- /f 7 CONTRACTOR WA STATE CONTRACTOR'S LICENSE 9 EXPIRATION DATE EC FEDERAL WAY BUSINESS LICENSE A N Air 4)°"% c, 4 u oG %3 A PRIMARY PHONE 2c)) 7s,,-- Z Ci 33 APPLICANT MAILING ADDRESS 0. 13ox 1�0� E-XAEL fjv%!4sjAk, F4 frG;91_ i't CITY 80il-1 L L STATE (v�4 ZIP -,,,,,FAX - PROJECT CONTACT NAMEPRIMARY 110AA11 64U000,14 PHONE ( 1(d,)'l 3� - Z �' 93 I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of my knowledge, the ir{formation 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 ariseso t of the reliance of the city, including its officers and employees, upon the accuracy of the igformation supplied to the city f t is application. SIGNATURE: � DATE � � � – 17 PRINT NAME: PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permiteenter@cityoffederalway.com Bulletin #160 –April 14, 2016 Page 1 of 1 k: 11andoutsTlectrical Permit Application ;Mc. -PI at (VM Electrical Cti ityDedlopmeny Permit #:17 -106036 -00 -EL Community Development Wept. 33325 8th Ave S Federal way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: NW KIDNEY CENTER -FEDERAL WAY WEST Project Address: 501 S 336TH ST Parcel Number: 926480 0240 Project Description: New interior lighting, site lighting, receptacles, feeders and connection to dialysis water treatment equipment. Includes low -voltage wiring for fire alarm, security, CCTV and access controls. Owner Applicant Contractor ROSEN PROPERTIES NORTHSTAR ELECTRICAL LLC NORTHSTAR ELECTRICAL LLC P O BOX 5003 PO BOX 1909 NORTHEL878QF (11/6/19) BELLEVUE WA 98009 BOTHELL WA 98041 PO BOX 1909 BOTHELL WA 98041 Additional Permit Information Is this an Online or O.T.C. application? .................. No Low Voltage - Other (Commel 1 Low Voltage - Burglar Alarm i 1 Low Voltage - Fire Alarm (Co 1 PERMIT EXPIRES Saturday, 5 January, 2019 Permit Issued on Fridav, January 5, 2018 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. 6 Owner or agent: Date: 1 crry orTHIS CARD IS TO REMAIN ON-SITE FeclerM Construction Inspection Record Way INSPECTION REQUESTS: (253) 835-3050 PERAW #: 17106036 00 Address: 501 S 336TH ST Suite 110 Project: ROSEN PROPERTIES FEDERAL WAY WA 98003 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 abort any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. El S1aWConcrete Floor (4255) 0 Rough Electrical (4225) 0 Final - Electrical (4055) Right of Way Approved to place concrete Approved Approved Approved Approved By Date _ By By Date . By Date --LI Ilk Rough Electrical El Final Electrical Right of Way Approved Approved [By Approved By Date By Date Date