12-100863e
Electrical
f City of Federal Way •
Community & Econ. Dev, Services �' Permit #. 12-100863-00-EL
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: Tamper Add
Owner
A I{1 icant
Contractor
GROUP HEALTH COOP
JEREMY LEBLANC
CONVERGINT TECHNOLOGIES
1959 NE PACIFIC ST
CONVERGINT TECHNOLOGIES
(ELECTRICAL)
SEATTLE WA 98004
450 SHATTUCK AVE S
CONVETL984BQ (1/18/14)
RENTON WA 98057
450 SHATTUCK AVE S SUITE 100
RENTON WA 98055
Additional Permit Information
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, February 26, 2014
Permit Issued on Monday, February 27, 2012
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 Washington
n deral Way.
Owner or agent: Date:
A
'y
3/ ((# /I?..
cr" OF
Federal Way
THIS CARD IS TO MAIN ON -SITE r
r Construe tion I ection Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 100863 -00 -EL 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.
0 Final - Electric
,-;7 Approved
By /' /,_--7 Date �✓ �' .�Y
FILE
UFER Ground (4295)
Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electric
,-;7 Approved
By /' /,_--7 Date �✓ �' .�Y
FILE
Pool Bonding (4195)
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
0
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electric
,-;7 Approved
By /' /,_--7 Date �✓ �' .�Y
FILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date