19-105217 Electrical
City of Federal Way f L Permit #:19-105217-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
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Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MADRONA PARK ASSISTED LIVING AND MEMORY CARE
Project Address: 31200 23RD AVE S Parcel Number:092104 9127
Project Description: Hanging new lights,misc electrical
Owner Applicant Contractor
HSRE-PMB MADRONA LLC JESSICA SMITHHOME RUN ELECTRIC HOME RUN ELECTRIC LLC
3394 CARMEL MOUNTAIN RD SUITE 200 LLC HOMERRE974K2(5/22/21)
SAN DIEGO CA 92121 23103 3RD AVE SE
BOTHELL WA 98021 23103 3RD AVE SE
BOTHELL WA 98021
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Circuits-Commercial 2
PERMIT EXPIRES Thursday,29 October,2020
Permit Issued on Wednesday,October 30,2019
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
sh. ton and the City of Federal Way.
Owner or agent: INE Date:
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THIS CARD IS TO REMAIN ON-SITE
�m� Construction Inspection Record
federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 10521700 Address: 31200 23RD AVE S
Project: HSRE-PMB MADRONA LLC 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.
0 UFER Ground(4295) ® Ditch cover(4030) •0 Slab/Concrete Floor(4255)
Approved Approved / Approved to place concrete
By Date By fde Date //� ~/ .':By Date
0 Pool Bonding(4195) 121 Temporary Power(4275) I 0 Service(4235)
Approved Approved Approved
By Date By Date 1 By Date
0 Feeders/Sub-panels(4045) i ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
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CI Final-Electrical(4055)
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Approved
By Date Jfr.) n v . 1 /A- '6 //7
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0 Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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