13-103490I
Ah
� 7
ec r><ca
City of Federal Way
Community & Econ. Dev. Services Permit #. 13-103490-00-EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835,3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 FILE
Project Name: GROUP HEALTH CLINIC
Project Address: 301 S 320TH ST
Parcel Number: 172104 9105
Project Description: Removing and Replacing existing Fire Alarm Dialier with Radio Transmitter
Owne
ARRlican t
Contractor
GROUP HEALTH COOP
RICH JAMES
CONVERGINT TECHNOLOGIES
12501 E MARGINAL WAY S
CONVERGINT TECHNOLOGIES
(ELECTRICAL)
TUKWILA WA 98168
450 SHATTUCK AVE S SUITE 100
CONVETL984BQ (1/18/14)
RENTON WA 98055
450 SHATTUCK AVE S SUITE 100
RENTON WA 98055
Additional Permit 106rmatfo6
Is this an Online or O.T.C. application ? .................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Fire Alarm (Comm( 1
Is Use Educational or Institutional ? .......................No
PERMIT EXPIRES Sunday, February 2, 2014
Permit Issued on Wednesday, August 7, 2013
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: AftlLes IlLorm Date:
WRLOINQ
FKA1,F-70
t THIS CARD IS TO MAIN ON -SITE
C,nO Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 13- 103490 -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.
❑
UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub- panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
Date'L�(
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date