17-100937 f y i s
` ' ' Electrical
City of Federal way Permit #:17-100937-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
Project Name: FEDERAL WAY ENDOSCOPY CENTER
Project Address: 34503 9TH AVE S Parcel Number:750451 0050
Project Description: Fire Alarm-Installing new notification devices and relocating existing smoke detectors.
Owner Applicant Contractor
CHI-FRANCISCAN HEALTH SYSTEM ADAM CHUDOBANORTHSTAR NORTHSTAR ELECTRICAL LLC
1623 MARTIN LUTHER KING WAY ELECTRICAL LLC NORTHEL878QF(11/6/17)
TACOMA WA 98405 16934 NE 131ST PL
REDMOND WA 98052 PO BOX 1909
BOTHELL WA 98041
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Fire Alarm(Co 30
PERMIT EXPIRES Tuesday,27 February,2018
Permit Issued on Monday,February 27,2017
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: r' 1 I Date:
911N
y r -,
_ THIS CARD IS TO REMAIN ON-SITE
Feclerat Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100937 00 Address: 34503 9TH AVE S Unit 300
Project: CHI-FRANCISCAN HEALTH SYST 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.
® UFER Ground(4295) 2
( ) 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) ,� 6 Service(4235)
Approved
Approved Approved
By Date Date
BY Date
..
.
® Feeders/Sub-panels(4045)
,
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8 �"
Approved Rough Electrical(4225) ® Ceiling Cover(4020) ,
Approved
Approved
By Date By Date
..By AA Date a -aQs-n ,
10 Final-Electrical(4055)
Approved
By (\ Date 3 "1,i
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved
Approved Approved
By Date I 1 By Date
BY Date