22-100307City of Federal Way
Community Development Dept.
SAve S
FILE
Federalal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DAVITA HEALTHCARE OFFICE PARK
Project Address: 3201 S 323RD ST
Electrical
Permit #:22-100307-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 215465 0110
Project Description: Office renovations - relocating light fixtures and receptacles, adding additional light fixtures
and receptacles, and 2 new panels
Owner
Applicant
Contractor
GENESIS KC DEVELOPMENT LLC
ADAM KUMMERVALLEY ELEC CO OF
VALLEY ELECTRIC CO OF MOUNT
2000 16TH ST
MOUNT VERNON INC
VERNON LLC
DENVER CO 80202
1100 MERRILL CREEK PKWY
VALLEEC141NA (8/1/22)
USA
EVERETT WA 98203
1100 MERRILL CREEK PKWY S
EVERETT WA 98203
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures. a
Alt. Srvc / Feeder 0 to 200 aml l 2 Circuits - Commercial 30
PERMIT EXPIRES Wednesday, 25 January, 2023
Permit Issued on Tuesday, January 25, 2022
1 hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will iLe in.accor a ce wil the laws, rules and regulations of the State of
Ov
, an C ederal Way.
Owner or agent:
r,
/7'0V/
Date:
CRY OF vA
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 100307 00 Address: 3201 S 323RD ST
Project: GENESIS KC DEVELOPMENT LLC FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TMS 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.
it UFER Ground (4295) Q Ditch cover (4030) Q 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 Date
® Feeders/Sub-panels (4045) ® Rough Electrical (4225) ® Ceiling Cover (4020)
roved !�/ Approved Approved
By /l Datr JBy Date �~ lay jDate 3✓'� �'
10 Final - Electrical (4055)
Approved
�02 9",
By Date G
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date