18-101068 Electrical
City of Federal Wry FILE
CommmityDevelopment Dept.
Permit #.18-101068-00 EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 FILL
Project Name: CLARION INN-CONVERSION TO LA QUINTA INN&SUITES
Project Address: 31611 PETE VON REICHBAUER WAY S Parcel Number:092104 9291
Project Description: Re-work existing electrical in hallways,stairs and guestrooms on floors 3&2.Electrical work
to include replacing and relocating receptacles,outlets,light fixtures and switches as needed.
Owner Applicant Contractor
BUM CORP PATRICK DAVISONNORTHSTAR NORTHSTAR ELECTRICAL LLC
31611 20TH AVE S UNIT Q-5 ELECTRICAL LLC NORTHEL878QF(11/6/19)
FEDERAL WAY WA 98003 •• 32522 24TH AVE SW PO BOX 1909
FEDERAL WAY WA 98023
BOTHELL WA 98041
Additional Permit information
Is this an Online or O.T.C.application" Ices
PERMIT EXPIRES Saturday,9 March,2019
Permit Issued on Friday,March 9,2018
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. l /rOwner or agent: /9 L3OUUt�)I\f\ Date: 3 ( 9 ( t
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THIS CARD IS TO REMAIN ON-SITE f
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Construction Inspections Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 101068 00 Address: 31611 PETE VON REICHBAUER WAY S
Project: BUM CORP - FEDERAL WAY WA 98003-5426
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD inspections are,listed as close to aequential order as moble
(read left to right,top to bottom). Please schedule insertions as appropriate: Work must natbe covered uakd it is approved. Check with your urpec for if
Elare unsure about any of the inspections or the inspection sequence. On-going in�tiens are logged on the back of this card.
u UFER Ground(4295) Q Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved . Approved to place concrete
By Date By Date _ By Date
Q Pool Bonding(4195) 0 ' Temporary Power(4275) ® Service(4235)
Approved- Approved Approved
By Date S►. . Date - By Date
IA Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020) 4
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Per tiv441. Approved
,B ms's Date Sal-)g ,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
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RECEIVED •
ELECTRICAL
CITY OF MAR 0 9 2018
Federal Way PERMIT APPLICATION
CITY OF FEDERAL.WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 q _ 1 0 ) U la U —
3 16,0
��� �� SUITE/UNIT/SPACE#
SITE ADDRESS:
Von e/cAbU way .S.
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PRO ED USE
$ 1l04/95, av 41q - z 0w _- 1 -z_ .9 t Eo ski mO 1
PROJECT NAME
(Tenant or Homeowner Last Name) Tr;M.CLCV.......- `k o5qt &t l _ G61.6 ov% .e_b r'?.../>ot;IAA Lr;.a 4-4) 1 ktc 7_
re w o�cin� .eoc is-V; Je ltcn r; l i K. ib2 k t51-1-Dowl 5 b yJ fie)r S
PROJECT DESCRIPTION 4 Z• ,Q*f/4t 1 i 1 - orifi t y , c.e_e zle 5 _ he/4IiC;rt eaIiS-1--i�t�
Detailed description of work to i qA.\- t i� f.P 5 PA C-1 1 VI ("MA'e)&4---.roe vv 4 K,`W�/s
be included on this permit only I 1
i.v`ck S 4-c7..',rS As Y1-e.r at ecl .
NAME PRIMARY PHONE
PROPERTY OWNER Trii91 1/0 90;16-1.- V (2G) 7 - 667-.-
MAILING ADDRESS Q/� / I E-MAiL
3/lel� /2k yam ICGroit6Q.(.ee✓ (,.J 5. Sa+ t--,-ir> rklieio;40bly.(.07
CITY STATE ZIP FAX
�elNcd Way WA- g1oo3 ( ) -
NAME PRIMARY PHONE
A)4047//37,474 FLC17E/C19e__ Le_C. (Ze( )329 - f5--9‘
MAILING ADDRESS / E-MAH.
ELECTRICAL fa ,50.k /1 0 y
CONTRACTOR CITY STATE ZIP FAX
15d / w,q ' ire 1/[ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE►
itiOertiCZ— `7g Q 1 1 /o f 'Zolq Za-16 - 104 U--i z--cam-PI
NAME PRIMARY PHONE
APPLICANT /9 -riGi////� ,DomI$ n (ZGSi)ca - q“SCI
MAILING ADDRESS E-MAII.
32sZZ VII �" a,,v<< S kkri@norkhs+ar,e.a(ri.41.
CITYSTATE ZIP FAX G OX
i o€vvi( 1.vDty L✓ X} CVIS-C9 Z 3 ( ) -
x PRIMARY PHONE
PROJECT CONTACT /</ , /5 ) (LS3) 3-7a- Snq Q a
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 a part ofthis application.
1/
SIGNATURE: Q,C/l „ DATE 3/`
4 /I
PRINT NAME: 1h'1`GIG i- DL1N/. o (((
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 +FAX 253-835-2609 + permitcenter[)cityoffederalway.com
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application