18-101590 ,A,
I F Electrical
City ofFederal Way Permit #:18-101590-00-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: 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 on 1st floor.Electrical work to include replacing and relocating
receptacles,outlets,light fixtures and switches as needed,as well as reworking wiring for
rooftop units..
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
FEDERAL WAY WA 98023 PO BOX 1909
BOTHELL WA 98041
Additional Permit Information
Is this an Online or O.T.C.application Yes
Circuits-Commercial 66
PERMIT EXPIRES Saturday, 13 April,2019
Permit Issued on Friday,April 13,2018
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.
Owner or agent: f-10GO!/1�,d1�\ Date: e(-13 - / 7�
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HIS CARD IS TO REMAIN ON-SITE
CITY-� CTHIS
Inspection Record
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INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 101590 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 sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Wodcmust not be covered until itis-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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
4❑ Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) [:I Rongtko (4225) Cover(4020)
v AAApproved liKe^ , aAon
By CW Date ' 0.1-7-1 8 By Date By Date • b.18
al Final-Electrical(4055)
Qtr AAb.3b Approved
By -.SS Date q.,7.18' .
0 Rough Electrical 0 • - Final Electrical - ❑ Right of Way
Approved Approved Approved
By Date By Date By ' Date
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art OF RECEIVED ELECTRICAL
Federal Way APR 13 2018 PERMIT APPLICATION
ERAL WAY
(;pMMUNffYEDEV oPEMef r NUMBER �j - -
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SUITE/UNIT/SPACE#
SITE ADDRESS: l la\. vQs\ Wa` / J C
PROJECT VALUATION or D ASSESS() 'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME _ (� 1
(Tenant or Homeowner Last Name) `c k�a'(vL t�0` AlC`a,C\o I to V;t' -c Q'e--B ..ri i c
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PROJECT DESCRIPTION a�°( aSSczca4 ee�w 1`014 i' i l sf r o"✓• c�r,A re_koe,A;,t el
Detailed description of work to e'e of O v41'V-
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be included on this permit only
NAME 6
(,///,:, C PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS ^/nom' E-MAIL
CITY STATE ZIP FAX
( )
NAME
PRIMARY PHONE
dor { ---(�iA.& L L c_ (70l° )37'9 - )5'96
MAILING ADDRESS
E-MAIL
ELECTRICAL ibecC H o q
CONTRACTOR
I�jpp�j�'YT r `tl ( )
r- l/ ZIP�v FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
boX-rN-L L cc`-I s0 r /
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APPLICANT (AL 15D Y‘ ( leo)65e/ - 6(05-9
MAILING ADDRE/SSS/`�G� /. i E-MAIL 1
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CITY STATE ZIP FAX
FAX
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NAME PRIMARY PHONE
PROJECT CONTACT Qi�\ rit D'L)
('ZO(P)7q3 3320
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 of this application.
SIGNATURE: •04DATE 41- )3--1
PRINT NAME: PO--' 'LV J QLLU 15 0✓x
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application