22-102985City of Federal Way k
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:22-102985-00-EL
Inspection Request Line: (253) 835-3050
Project Name: VIRGINIA MASON
Project Address: 33501 1ST WAYS
Project Description: 1.5 hour load bank test for emergency standby generator.
Parcel Number: 926504 0010
Owner
Applicant
Contractor
VIRGINIA MASON CLINIC
PACIFIC POWER GROUP LLC DBA
PACIFIC POWER GROUP LLC DBA
1100 9TH AVE S
PACIFIC POWER GENERATION
PACIFIC POWER GENERATION
SEATTLE WA 98101-2756
1221 29TH ST NW SUITE D
PACIFPG867D7 (3/28/24)
AUBURN WA 98001
1221 29TH ST NW SUITE D
AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Commercial 1
PERMIT EXPIRES Tuesday, 27 December, 2022
Permit Issued on Thursday, June 30, 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
hin a e City of Federal Way -
Owner or agent:
VIVLIIVt
F H0�-)
Date:
CITY OF
Federal Way
THfS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 102985 00 Address:
Project: VIRGINIA MASON CLINIC
33501 1ST WAYS
FEDERAL WAY WA 98003-6208
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.
By
UFER Ground (4295)
Approved
Date
Q
By
Ditch cover (4030)
Approved
Date
Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Pool Bonding (4195)
Approved
By Date
0 Temporary Power (4275)
Approved
By Date
0 Service (4235)
Approved
By Date
El Ceiling Cover (4020)
Approved
By Date
Feeders/Sub-panels (4045)
Approved
By Date
® Rough Electrical (4225)
Approved
By Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
JUN 30 2022 ELECTRICAL
CITY of CITY OF FEDERAL WAY
Federal Warr COMM"DE'VELOPMEW PERMIT APPLICATION
PERMIT NUMBER 3 _ j— L —7 1 5__E L,
SUITE/UNIT/SPACE M
SITE ADDRESS: JJ r� to
�dASSESSOWS
PROJECT VALUATTIION
TAX/PARCEL iF
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME s
PRIMARY PHONE
PROPERTY OWNER
MAILING ADD
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
ELECTRICAL
MAIL G ADDRESS
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CITY
STATE SIP
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2.
CONTRACTOR
WA STATE CONTRACTOR'S LILICENSE 8 9"IRATION DATE
VL VUq f5 L
FEDERAL WAY BUSINESS LICENSE Y
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APPLICANT
NAME �y , S�
o u
PRIMARY PHONE
MAMING ADDRESS
d
CITY
STATE
ZIP
°
PROJECT CONTACT
NAM
PRIMARY PHONE
_
I cert(jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of
my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all
applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the awner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
s DATE
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + pernutcentel@cityoffederalway.com
M
Bulletin #t160 —April 14, 2016 y Page I of 1 BlIandoutsTlectrical Permit Application