17-103570 . , . r -
Electrical
City orFederal elopmeWay Permit #:17-103570-00-EL
Community Development Dept.
3338th Ave S
Way,Way,wa 9soo3 ' Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax.(253)835-2609
Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number:082104 9042
Project Description: Relocate existing air conditioner receptacles
Owner Applicant Contractor
FEDERAL WAY CONVALESCENT CENTER JERRY ASBJORNSENMADSEN ELECTRIC MADSEN ELECTRIC
3001 KEITH ST NW 3939 S ORCHARD ST MADSEE*140P8(4/30/18)
CLEVELAND TN 37312 TACOMA WA 98409
3939 S ORCHARD ST
TACOMA WA 98466
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Commercial 5
PERMIT EXPIRES Wednesday,25 July,2018
Permit Issued on Tuesday,July 25,2017
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: LIE
Date:
.."4 ;St
J
f c . _i
OtA*'. THIS CARD IS TO REMAIN ON-SITE
FederaI'AI. Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103570 00 Address: 1045 S 308TH ST
Project: FEDERAL WAY CONVALESCENT 1 FEDERAL WAY WA 98003-4706
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® RoughEl�al(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date CC Date Q—A-- ( 9 ,jBy Date
Date
.
El Final-Electrical(4055)
Approved
_.._ Da .)..._Zi(:: , 1 7
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
•