12-101027Electrical
City of Federal Way FILE permit #: 12-101027-00-EL
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: GROUP HEALTH
Project Address: 301 S 320TH ST
Parcel Number: 172104 9105
Project Description: Replace existing 100amp breaker w/ shunt trip 100amp breaker, connect new equipment,
replace (5) existing light fixtures, install (1) new duplex receptacle, install (1) new X -Ray in
use light, install conduit for cabling by others
Owner
AR1211can
Contractor
GROUP HEALTH COOP
KEN COOK
PRIME ELECTRIC INC
1959 NE PACIFIC ST
PRIME ELECTRIC INC
PRIMEEI134BT (1/30/13)
SEATTLE WA 98004
13301 SE 26TH ST
13301 SE 26TH ST
BELLEWE WA 98005
BELLEWE WA 98005
Additional Permit Information
Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1 Circuits - Commercial .................... 2
PERMIT EXPIRES Thursday, March 6, 2014
Permit Issued on Tuesday, March 6, 2012
1 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. :3�/
CIPJ F; � ! Z
Owner or agent: Date:
MOWN
F ir !
^.
", t' .
Federal Way
PERMIT #: 12- 101027 -00 -EL
TRIS CARD IS TO REMAIN ON -SITE
Construction I ection Record
INSPECTION REQ TS: (253) 835 -3050
Address: 301 S 320TH ST
Project: GROUP HEALTH COOP FEDERAL WAY, WA 98003 -5200
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.
Final - Electrical (4055)
Approved
Date_
FER Ground (4295)
Ditch cover (4030)
0
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date_
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
Right of Way —�
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
E] Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date 9 _ `.�
By ZC S
DateG l
Final - Electrical (4055)
Approved
Date_
Rough Electrical
Approved
0
Final Electrical
Approved
n
Right of Way —�
Approved
By
Date
By
Date
By
Date