12-101751r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FILE
Eleitrical
Permit #: 12- 101751 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: US HEALTHWORKS
Project Address: 1300 S 320TH ST Parcel Number: 082104 9241
Project Description: Install one receptacle, one switch, one light and misc demo.
Owner
Aq licant
Contractor
CHUN H PAK
ERIC OLSEN
OLSEN ELECTRIC INC
CHON LI
OLSEN ELECTRIC.
OLSENEI931PE (1015113)
1300 S 320TH ST
718 N GRIFFIN AVE SUITE 215
718 N GRIFFIN AVE SUITE 215
FEDERAL WAY WA 98003
ENUMCLAW WA 98022
ENUMCLAW WA 98022
PERMIT EXPIRES Saturday, April 19, 2014
Permit Issued on Thursday, April 19, 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
and the City of Federal Way.
Owner or agent: _ eN k1 1 11hic Date:
I ®tom
THIS CARD IS TO REMAIN ON -SITE
MY OF Construction IL ection Record
Federal Way INSPECTION REQUEITS: (253) 835 -3050
RMIT 14 12- 101751 -00 -EL Address: 1300 S 320TH ST
.Flu,
Project: CHUN H PAK FEDERAL WAY, WA 98003 -5340
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
Approved
By Date
h cover
Approved
By Date
Pool Bonding (4195)
Approved
By
Date
0
Feeders/Sub- panels (4045)
Approved
By
Date
Rough Electrical
F1
Final - Electrical (4055)
Approved
By
Date s
h cover
Approved
By Date
u Approved to place concrete
By Date
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
u Approved to place concrete
By Date
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑
Right of way
Approved
❑
Final Electrical
Rough Electrical
F1
Approved
Approved
By
Date
By
Date
By
Date