23-103091City of Federal Way
FILE
Community Development Dept
33325 8th Ave 5
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FEDERAL WAY AMBULATORY SURGERY CENTER
Project Address: 34612 6TH AVE S
Project Description: Please perform load bank to generator
Electrical
Permit #:23-103091-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0010
Owner
Applicant
Contractor
FWASC LLC
RICHARD PHILLIPSCUMMINS INC
CUMMINS INC
PO BOX 398
1800 S FRYAR AVE 1800 FRY
CUMMII*853C4 (2/24/25)
ENUMCLAW WA 98022
SUMNER WA 98390
500 JACKSON ST
COLUMBUS IN 47201
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Temp. Serv.: 201 = 400 amps (
Electrical Fixtures
PERMIT EXPIRES Monday,11 December, 2023
Permit Issued on Wednesday, June 14, 2023
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
ashin ton and the City of Federal Way.
Owner or agent: Date:
city of
Federal Way
THIS CARD IS TO REAL-I-N O's-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS C ARD. Inspections are listed as close to sequential order as possible
(read left to right. top to bottom). Please schedule inspections as appropriate. l ork must not be covered until it is approved. Check with your inspector if
roll are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card_
ELECTRICAL
❑
LTER Ground (4295)
❑
Ditch corer (4030)
❑
Slab/Concrete Floor (42-5a)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Apprrnrd
Approved
Approved
BV
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
0
Ceiling Corer (4020)
Approved
Appcoted
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By
A/7 Date jr"
MECHANICAL
❑
1Mechanical Rough -in (4165)
❑
Gas Piping (4125)
0
Final - \Mechanical (4065)
Approved
Approved to release test
Approved
Br
Date
Br
Date
By
Date
PLUMBING
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
❑
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
BY
Date