20-100661 Electrical
City of Federal Way Permit #:20-100661-00-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: FISHER SCIENTIFIC COMPANY LLC
Project Address: 822 S 333RD ST Parcel Number:926500 0160
Project Description: Fire alarm circuit 20A 120V
Owner Applicant Contractor
CONCENTRIC 2 LLC SUPERIOR HVAC&ELECTRICAL SUPERIOR HVAC&ELECTRICAL
2841 E LAKE SAMMAMISH PKWY 14900 INTERURBAN AVE S (ELECTRICAL)
SAMMAMISH WA 98074 SEATTLE WA 98022 SUPERHE869LQ(6/18/20)
7325 166TH AVE NE SUITE F260
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application') Yes
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Circuits-Commercial
PERMIT EXPIRES Saturday, 13 February,2021
Permit Issued on Friday,February 14,2020
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: i _ Date: 2/4 —
OL
THIS CARD IS TO REMAIN ON-SITE •
nTMo .' a4 Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100661 00 Address: 822 S 333RD ST
Project: CONCENTRIC 2 LLC FEDERAL WAY WA 98003-6343
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 UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved I Approved to place concrete
By Date By Date , By Date
,
® Pool Bonding(4195) El Temporary Power(4275) ; El Service(4235) ,
_ Approved Approved Approved
By Date 1 By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ' El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
ED Final-Electrical(4055)
Approved n �j
By ,,le --...16'..--421
.Date ..Y/�42
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •
DECEIVED ELECTRICAL
CITYOF 1•Federal FEB 14 2020
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENTit
,L /
PERMIT NUMBER i2 v _ 1 O 0 (-) 4l ( - l� l..-
SITE ADDRESS: g33(2--
SUITE/UNIT/SPACE#
PROJECT VALUATIONASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 0j." 9 .Z 5_ OO - 0 I (10 cg,Ir
PROJECT NAME _ .
(Tenant or Homeowner Last Name) ) ( h t°ir `x'I GI .7 I�ri�
PROJECT DESCRIPTION )'i re. 411 vi, e ayrt.), . - a-},f /?C ✓
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIIMARY PHONE
W,,,,,,9yy��n��nE / )-4 V y/UiI'cc 4 ('70 .) n6/-1 O
MAILIE-MAIL
ELECTRICAL -73e -, /66 .--- ,'9 - /7( 1 y e60
CONTRACTOR CITY STATE ZIP FAX
Sv c. j- 906.z ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
5uPF(Z- I--/ SOPI LC) /
NAMEPRIMARY PHONE
APPLICANT 4J6r/r) 6.111Z- (ztt) 743- 7/460
MAILING ADDRESS E-MAIL
SCi.M G 6-5 /46:Are
CITY STATE ZIP FAX
Lejlirbfil Ci_ () q�rh'Z ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
Ao-en ,l' (zap )74/3- 7e/60
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. / 7
SIGNATURE: _ - DATE Z-/`7 - GC"e0
PRINT NAME: ,1 ,I err? 44
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application