22-101756Electrical
City of Federal Way Permit #:22-101756-00-EL
Community Development Dept. FILE
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FEDERAL WAY MEDICAL -DENTAL CTR
Project Address: 1014 S 320TH ST Parcel>Number: 082104 9234
Project Description: Replace (2) sub panels
Owner Applicant Contractor
FW MEDICAL -DENTAL GRP LLC DOUGLAS OWENBlaze Electric & Service BLAZE ELECTRIC & SRVC CO INC
PO BOX 23314 Co Inc BLAZEES0101`8 (10/28/23)
FEDERAL WAY, WA 98093-0314 209 S 125TH ST 209 125TH ST S
TACOMA WA 98444
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 aml 2
PERMIT EXPIRES Monday,17 October, 2022
Permit Issued on Wednesday, April 20, 2022
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
0Nr1Nt7 rtl'the City of Federal Way.
Owner or agent. Date
THIS CARD IS TO REMAIN ON -SITE
CITY OF
Construction Inspection Record
-�
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 101756 00 Address: 1014 S 320TH ST
Project: FW MEDICAL -DENTAL GRP LLC FEDERAL WAY WA 98003-5344
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.
1❑
UFER Ground (4295)
2❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
a❑
Pool Bonding (4195)
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
10 Final - Electrical (4055)
Approved
By
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
liv
Date