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18-100309 • 4 ot t t r Electrical City of Federal Way - Permit #:18-100309-00-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: BROOKDALE FOUNDATION HOUSE Project Address: 32290 1ST AVE S Parcel Number: 172104 9039 Project Description: Electrical work for substantial remodel including new light fixtures,branch circuit revisions and new panel boards. Owner Applicant Contractor EMERITUS CORPORATION DBA EMERITUS CORPORATION DBA ZORKO ELECTRIC BROOKDALE FEDERAL WAY BROOKDALE FEDERAL WAY ZORKOEI1210K(9/12/20) 111 WESTWOOD PL 111 WESTWOOD PL BRENTWOOD TN 37027 BRENTWOOD TN 37027 PO BOX 100 DUVALL WA 98019 Additional Permit Information Is this an Online or O.T.C.application No PERMIT EXPIRES Thursday,5 December,2019 Permit Issued on Wednesday,December 5,2018 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and t use will be in ac i rdance with the laws, rules and regulations of the State of ashingtoh =nd the City of Federal Way. Owner or agent: Date: 1Z��� 4 • Z OM ! THIS CARD IS TO REMAIN ON-SITE ` ernrer Federal Way Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 100309 00 Address: 32290 1ST AVE S Project: EMERITUS CORPORATION DBA B: 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. A O UFER Ground(4295) Q \ iii► Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved ( Approved to place concrete f By Date By A/ / Date - 0,I By Date CI Pool Bonding(4195) 0 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 7/� Date , . 0 'ft By / Date 10'4 " 10 Final-Electrical(4055) By 9, oved 111)3rate/ -4.?"-/4,� /4 doill-X �� 00e ; e ? J.7 1' D „, 56 OIC 6 -1/0 -l9 dee iteav 5D9St-i.Jyri✓a 4'--15r� ' e,0 Cep'/,nr ,VoiA /i # #- Woo/K5 7 '2f- f lee O Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date • RECEIVED , 3 JAN 19 2018 • CITY OF FEDERAL WAY ELECTRICAL CITY OF ACOMMUNfTY DEVELOPMENT Federal Way PERMIT APPLICATION Mawr NumsaR1 1 - / o 3 o 9 - f L SUITE/UNIT/MPACR i SITE ADDRESS: 32290 First Ave. S, Federal Way, WA 98003 PROJZCT VALUATION ASSESSOR'S TAX/PARCEL a CURRENT/PROPOUED USE. $ 286,000 1 7 2 1 0 4 _ 9 0 3 9 Assisted living/ — — — — Memory care PROJECT NAE Brookdale Foundation House Conversion (Tenant or Homeowner Last Name) This project is consisted of renovating for 22 existing assisted living units turning into memory care units.Modifications includes new light fixtures,branch circuit revisions and new electrical PROJECT DESCRIPTION panelboards.The kitchens for each existing assisted living unit will be demolished and new I =` Detailed description of work to centralized kitchen and dinning area will be provided for their use.One of the existing site light poles be included on this permit way in courtyard will be relocated to new location. NANS PRIMARY PRON5 i PROPERTY OWNER Emeritus Corporation d/b/a Brookdale Federal Way ( 253 ) 838-8823 r, KAMM ADDRSSS S-WAIL 111 Westwood Place mhardwick@brookdale.com i CITY STATE ZIP FAX f Brentwood TN 37027 ( ) - NAILS PRIMARY PRONE TBD ( ) - MAILING ADDRS$$ aIMAIL ELECTRICAL CONTRACTOR CITY STATS ZIP FAX • T ( ) _ WA STATE CONTRACTOR'S LNC I EXPIRATION DAIS PSDERAL WAY EVSINSSS Mimes a / EARS PRIMARY PROWS APPLICANT Mike Hardwick ( 615 ) 564-8143 NAILING ADDIONS NUM. 111 Westwood Place mhardwickc©Dbrookdale.com CITY Brentwood STATS ZIP PAX • TN 37027 ( 615 ) 221-2289 EAIlS PRIMARY PROMS PROJECT CONTACT LRS Architects ATTN:Chuck Archer (971 ) 242-8182 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)'ederal Way regulations pertaining to the work authorised 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 Pederal Way as to any claim(including tests,expenses,and attorneys'fres 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 refiners and employees, upon the accuracy of the information suppli to the city as a part of this application i i J SIGNATURE: / , DATE I O�` �? PRINT FAME: Mike Hardwick zl PERMIT CENTER+33325 801 Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitcenter®cityotfederalway.com it Bulletin#160-April 14,2016 Page 1 of 1 k:\iandouts\Electrical Permit Application o