19-104064Electrical
City of Federal way FILI
Permit #:19-104064-00-EL
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DAVITA HEALTHCARE OFFICE PARK
Project Address: 3201 S 323RW ST Parcel Number: 215465 0110
Project Description: Temporary Power Service
Owner Applicant Contractor
GENESIS KC DEVELOPMENT LLC ADAM KUMMERVALLEY ELEC CO OF VALLEY ELECTRIC CO OF MT VERN
2000 16TH ST MTVERNON INC VALLEEC141NA (8/1/20)
DENVER CO 80202 1100 MERRILL CREEK PKWY 1100 MERRILL CREEK PKWY S
USA EVERETT WA 98203 EVERETT WA 98203
USA
Additional Permit Information
Is this an Online or O.T.C. application? ........... ... Yes
Temp. Serv.: 201 - 400 amps (
ElectriM Fixtures
PERMIT EXPIRES Saturday, 22 August, 2020
Permit Issued on Friday, August 23, 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
( —, w0slIn ton and the Cit of Federal Way.
)N
Owner or agent: Date:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 19 104064 00 Address: 3201 S 323RD ST
Project: GENESIS KC DEVELOPMENT LLC FEDERAL WAY WA
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
Approved Approved Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By fz<Date
I- " LV
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By
Date
❑
Final Electrical
❑
Right of Way
Approved
Rough Electrical
Approved
Approved
By
Date
By
Date
RV
Date