09-101473 E4ectrical
City Federal Way Permit #: 09-101473-00-E L
DevelopmentCommuniServices
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Re uest Line: (253)835-3050
Ph.(253)835-2607 Fax(253)835-2609 p Q
ilkie
Project Name: MEDICAL IMAGING ON FIRST
Project Address: 33915 1ST WAY S Suite 130 Parcel Number: 926504 0150
Project Description: Electrical Tenant Improvement
Owner Applicant Contractor
ESM BUILDING,LLC MELANIE BROOM ELECTRIC SYSTEMS LLC
320 106TH AVE NE SUITE 100 Electric Systems LLC ELECTSL979KE(5/5/09)
BELLEVUE WA 98004 5011 S BURLINGTON WAY CIR SUITE A PO BOX 1982
TACOMA WA 98409 SUMNER WA 98390
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Is Use Educational or Institutionah No Service greater than 1000 Amps" No
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Add'l New Feeder(s)0-100 amp(C 3 Add'l New Feeder(s) 101-200 amp 1 Add'l New Feeder(s)201-400 amp 1
PERMIT EXPIRES Wednesday, April 21, 2010
Permit Issued on Tuesday, April 21, 2009
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
he Ciag,t.
ty of Federal Way.
Owner or agent: Date: UBMI-fTED
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DATE INSPECTOR AREA AND TYPE OF INSPECTION
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Aka: THIS CARD IS TO MAIN ON-SITE
CITY OF 1111Lommunity DevelopiNnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101473-00-EL
Owner: ESM BUILDING, LLC P1446
Address: 33915 1ST WAY S Suite 130
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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 Approved Approved to place concrete
By Date By Date v.L,6, •eit By Dates'
- ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date 5-n_a or
• Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Q� Date 5` 7 ,e3", Date L,— (U-'(11
❑ Final-Electrical(4055)
Approved
By C ,„ Date 6
•
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date