22-105211City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
"0121 -E
Project Name: WELLSPRING PHYSICAL THERAPY
Project Address: 33650 6TH AVE S
Project Description: Install CAT6 Data Wiring to Front Desk Area
Electrical
Permit #:22-105211-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0210
Owner
Applicant
Contractor
RIDGWOOD CENTER C/O CALISTA REAL
CORRIE BENDERPACIFIC BUSINESS
PACIFIC BUSINESS SYSTEMS INC (EL
ESTATE LLC
SYSTEMS INC
06)
PO BOX 240329
22013 26TH ST E
PACIFBS991JT (4/30/23)
ANCHORAGE AK 99524
LAKE TAPPS WA 98391
PO BOX 1453
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Filatures
Low Voltage - Other (Commel 6
PERMIT EXPIRES Saturday, 13 May, 2023
Permit Issued on Monday, November 14, 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
Washi g on h Federal Way.
Owner or agent: Date:
Fi /)a1
THIS CARD IS TO REMAIN ON -SITE
CITY OF 4A�, Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 105211 00
Address:
33650 6TH AVE S Unit 114
Project: RIDGWOOD CENTER c/o CALISTA
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.
Q
UFER Ground (4295) 0
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
0 Pool Bonding (4195)
Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By Date
0
Feeders/Sub-panels (4045)
s❑
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
RO Final - Electrical (4055)
A roved
By
ZDate i
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date