17-105505I i1b
City or Federal way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 8352609
Project Name: W D G DENTAL CLINIC
Project Address: 31515 PETE VON REICHBAUER WAY S
Project Description: Low voltage wiring to install network system
Electrical
Permit #:17 -105505 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9302
Owner
Applicant
Contractor ,
YONG K PARK
24 HOUR PROTECTION
24 HOUR PROTECTION
2016 S 320TH ST SUITE F
7406 27TH ST W SUITE 300
24HOUHP924QQ (11/18/18)
FEDERAL WAY WA 98003
UNIVERSITY PLACE WA 98466
7406 27TH ST W SUITE 300
UNIVERSITY PLACE WA 98466
Additional Permit Information
Is this an Online or O.T.C. application? .................. Ycs
Low Voltage - Fire Alarm (Co 1
PERMIT EXPIRES Winripal
Permit Issued on Tuesjffv, N
I hereby certify that the above i;jseiin
c ct and that
and the occupancy and the rdance with
sk hi n and the City o,
Owner or agent: 0
X0'7
'c
x;Ir
CV
,14 November, 018
lvembe� 14
Way.
on the above described property
and regulations of the State of
Date: 11/1 17
THIS CARPIS TOLREMAIN ON-SITE
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Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17105505 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: YONG K PARK FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not onsite. 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 ace logged on the baric of this card.
El
LIFER Ground (4295)
F11
Ditch cover (4030)
®
0
Slob/Concrete Floor (4255)
Approved
Approved
Approved
Approved
1By
By
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
Final - Electrical (4055)
Approved
By Date
Feeders/Sub-pauebu (4045)
®
Rougb Electrical (4225)
ID
Ceiling Cover (4020)
❑
Approved
Approved
Approved
By
Date
By
Date I♦—
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
.Date
By
Date
RECEIVE®
cm wv& NOV 14 2017 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNUY DEVELOPMENT" /0 's (Df,
PERMIT NUMBER
SITE ADDRESS: 7j��( Qe#t✓ U�Y1 F i CIS bom,,
SUITE/UNIT/SPACE #
l08
PROJECT VALUATION
$ 3,7�
ASSESSOR'S TAX/PARCEL i
0 q b �E— -
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�/ab 67 pal F� � L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Q o I t -,,at= Lei fo,11 Netwa
PROPERTY OWNER
NAME
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
7 ')-74w' 9f W cft�fc #3Wt.rcH
EMAIL
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CITY
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STATEPIP
k
aeq6L
FAX
(e6b) 6W- cfe V-16
WA STATE CO RACTOR'S LICENSE 8 EXPIRATION DATE
`111f U 9�0, i i
FEDERAL WAY BUSINESS LICENSE R
--�1- lobo - 00 -BLL
APPLICANT
NAME
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME . .. ......_
fl JV 6*4
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 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, a I ainst the ci
but only where such claim arises out of the reliance of the city, including its officers and employees, u E u�cc 4AR')
information supplied to the city as a part of this application. LLdd
SIGNATURE: DATE NOV 14 2017
PRINT NAME: ✓1 d 6N
i
CITY OF FEDERAL WAY
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentei%cityoffederalway.com
Bulletin 4160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
Electrical
City of Federal Way Permit #:17-105505-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: W D G DENTAL CLINIC
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number:092104 9302
Project Description: Low voltage wiring to install network system
Owner Applicant Contractor
YONG K PARK 24 HOUR PROTECTION 24 HOUR PROTECTION
2016 S 320TH ST SUITE F 7406 27TH ST W SUITE 300 24HOUHP924QQ(11/18/18)
FEDERAL WAY WA 98003 UNIVERSITY PLACE WA 98466 7406 27TH ST W SUITE 300
UNIVERSITY PLACE WA 98466
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
rn '� �' ,ate �.3 fi3hyi ,''° �;: ' �" !;07;'
;0 7
:3,..K 3,n.,.Afua z x., �< <Szd �..�.et [ 1• = «.$x =l ,3 Ifv,"A9., 33r, y N
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,5 December,2020
Permit Issued on Tuesday,November 14,2017
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 accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: �C P Ih�� l� Date: )e)--I /q
-1 9
.
� THIS CARPIS TO REMAIN ON-SITE
crrir 1
O! ��
Construction Ins tion Record
way
INSPECTION REQUE TS:(253)835-3050
PERMIT#: 17 105505 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: YONG K PARK 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 insure about any of the inspections or the inspection sequence. On-going inspections are logged on the bade of this card.
0 LIFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
E Feeders/Sub-panels(4045) D Rough Electrical(4225) 0 Ceiling Cover(4020)
Approval Approved Approved
By Date By :. Date ♦ , By Date
02 Final-Electrical(4055)
Approved
•
BY Date
Rough Electrical 0 Final Electrical Q Right of Way
Approved Approved Approved
BY Date By Date By Date
I
THIS CARD IS TO REMAIN ON-SITE
`""O` 4014 Construction Inspection Record
Federal Why INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105505 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: YONG K PARK 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.
® UFER Ground(4295) 1 ® Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date
.t By Date By Date •
® Pool Bonding(4195) 0 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 .1 •`
By Date By Date
I=1 Final-Electrical(4055)
By eApproved
er Data-r9-/
El Rough Electrical E Final Electrical ElRight of Way
Approved Approved gApproved
By Date By Date By Date