16-102890City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
K , 4
FILE
Electrical
Permit #: 16- 102890 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number: 082104 9042
Project Description: Disconnect / reconnect to replace 7 smoke & fire dampers
Owner
FEDERAL WAY CONVALESCENT CENTER
ggglicant
JESSICA BRUCE
Contractor
AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW
AIR SYSTEMS ENGINEERING
(ELECTRICAL)
CLEVELAND TN 37312
3602 S PINE ST
AIRSYEI009KS (5/10/18)
TACOMA WA 98409
3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Electrical Work Valuation ? ......... ...........................5710
Is Use Educational or Institutional ? .................:.....No
Electrical Fixtures
Circuits - Commercial .................... 7
Is this an Online or O.T.C. application ? .................Yes
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Tuesday, June 13, 2017
Permit Issued on Monday, June 13, 2016
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: Date:
PUS CARD IS TO REMAIN ON -SITE
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Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835.3050
PERMIT #: 16- 102890 -00 -EL Address: 1045 S 308TH ST
Project: FEDERAL WAY CONVALESCENT ( FEDERAL WAY, WA 98003 -4706
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
R roun
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Temporary Power (4275)
a oncrete Floor
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
11
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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 - Electrical (4055)
Approved
By
Date 1 -
Rough Electrical
Approved
11
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date