The URL can be used to link to this page

19-102235 r r � � • ♦. . _♦ Electrical CityofFedcralWay Permit #:19-102235-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Ir�spection Request Line: (253)835-3050 Ph:(253)8352607 Fax:(253)635-2609 Project Name: MULTICARE OFF-CAMPUS EMERGENCY CENTER Project Address: 29805 PACIFIC HWY S Parcel Number:042104 9033 Project Description: Service and electrical work for newly constructed 9,860 square foot one-story emergency center. Owner Applicant Contractor NIKLEXI LLC MULTICARE HEALTH SYSTEMS SEA TAC ELECTRIC INC 627 E FRANCIS AVE PO BOX 5299 SEATAEI077RW (12/17/19) SPOKANE WA 99208 TACOMA WA 98415 7056 S 220TH ST KENT WA 98032 Additional Permit Information Is this an Online or O.T.C.application?..................No �' �'� x ,�,� � u , j�� u�,��m� �� i ��,� k �3�� g^a- t �v�� a,: "� ��Y�1Si�� 93^� �3 Y �j � 9 5R� �'�, �,.7N��`�t$�,5�''£ _� �.... . . . . .. ....y-„�.�,. . < <��,...u.,,��'�.`� ., m ,_ ..,,.,,..�� r,�?�.,.,. r,,..'�.,.�..�.��.�.. ,�ta, ��, .,.. .,.., ��;..�e:� � e_ ., .i�ly 20�� PERMIT EXPIRES Thursday,20 . , Permit Issued on Wednesday,Au�ust 21,2019 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 Washington and the City of Federal Way. Owner or agent: Date: Z 1 � � � , , _ . � � THIS CARD IS TO REMAIN ON-SITE c�rr oF �_�� Federal Way C�NSPEuTION�QnE�Tsct?onR e So rd PERMIT#: 19 102235 00 Address: 29805 PACIFIC HWY S Project: NIKLEXI LLC FEDERAL WAY WA 98003 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. InspecGons 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. � UFER Ground(4295) �❑ Ditch cover(4030) Q Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date � Pooi Bonding(4195) � Temporary Power(4275) � Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-paeels(4045) � Rough Electrieal(4225) �❑ Ceiling Cover(4020) Approved Approved Approved By Date �`�q'r'� gy Date �.�^�% ��.,l7 gy �,+L Date��r��b "�� Final-Electrical(4055) roved By Date —� � � Rough Electrical � Final Electrical � Right of Way Approved Approved Approved BY Date By Date By DAte RECEIVEL� �,TMaF �i�,� MAY 0 8 2019 ELECZ'RICAL Federal Way ��nOFFEDERALWAY PERMIT APPLICATION COMMUN�TY DEVELOPMEM' PERMIT NUMBER�� _ I U � � � ✓ _ �Y �j ��D� ' SUiTE/URIT/SPACE A SITE ADDRESS: �. PROJECT VALUATION ASSSSSOR'8 AR/PARCBL# CURRENT/PROPOSED US8 � ��j aaa � � � i_ t� � - � t .� � PROJECT NAME �V�'I B �� (Tenant or Homeowner Last NameJ UM( �� a PROJECT DE3CRIPTION � U� � Detailed description of work to be included on this permit only HAME p PRIIIlARY PHORE PROPERTY OWNER N( '�� L L� ( ) - MAII.IHG ADDRfi88 �� E[AIL � �i � Gt.� �i CITY BTATE ZIP FAR . 1��4- �b� ( ) - F $ {� ' � PRIMARY PHORE ��J ' r �sn.►P6 ADDRE88 � . �- - - E-2lAII. ELECTRICAL CONTRACTOR �� E'''•''$ �p F"'� , � � ) - WA STATE COIPfRACTOR'S LICEASE k SRPIRATIOI(DATE FEDERAL WAY BUSIAEHB LICERHE 8 � � . -. -.. ....^ N � �� 1 , ' ` PRIMARY PHOIfE s�� ) APPLICANT ��n �� , 0 i / � . C��'"'V`' STA [ ' l � - � PROJECT CONTACT ��/'C!,�, ( rx�waY rx�� I cert(fy under penaity ojpeyury that I am the property owner or authorised agent of tha property owner.I cert�fy that to the best of my knowledge, the ir4formation submitted�n support of this perneit applicattort is true and correct.I certi�fy that I wiil comply wlth ai1 appiicable City of Federai Way regulations pertaining to the u�ork authorised by the issuance oj a perm{t 1 understand that the issuance of this permit doea not remove the owner's responsibiiity for compliance with tocal, state, or federai lams regulatirtg constructlon or envlronmentaI laws. I further agree to hold harmiess the City of Federal Way as to any ctaim(inciudtng costa, ezpenaes, and attorneya'fees{ncurred in the�nveatlgation and defanse of such cta{m), wh�ch may be made by any person,{nclud{ng the understgned,and,�iled against the city, but onty where such ciaim arises out of the retiance of the c{ty, inciuding its offlcars and empToyees, upon the accuracy of the ir{formatton suppiied to the city as a part of this appIicat{on. 3I(�NATURE: �� I� DATE � ��/� PRINT NAME• Y I� / N PERMIT CENTER�33325 8�Avenue South+Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609 +permitcente acityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:�IIandouts\Electrical Permit Application � ; � . " � ♦ � � � � � � ` • � ' � \ � . . � r � 1 � , � L