09-101967 �` Electrical
City of Federal Way •
Community Development Services - Permit #: 09-101967-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p Q (253) 835-3050
Project Name: MEDICAL IMAGING ON FIRST
Project Address: 33915 1ST WAY S Suite 130 Parcel Number: 926504 0150
Project Description: low voltage CAT5E cable for voice and data work stations
Owner Applicant Contractor
ESM BUILDING LLC RANDY STOCKWELL OPTIC FUSION INC
320 106TH AVE NE UNIT 100 1101 N A ST OPTICFI971DU(3/31/09)
BELLEVUE WA 98004-5791 TACOMA WA 98402 PO BOX 1778
TACOMA WA 98401
," ' AK ° !4 itiona s e �� gy. ••• , % � r'
Is Use Educational or Institutional No Service greater than 1000 Amps9 No
*.,,,‘,..-,71,„ /y : , , x'` etr1 'at •• a i ',, ,,e; ° "a*,i s' iv` i � a a°
Low Voltage-Other(Commercial 40
PERMIT EXPIRES,Friday, May 28, 2010
Permit Issued on "hurry, May 28,' 9
I hereby certify that t,e above information is correct a( that the construction on theabove. escril r'''7:.:rty and
the occupancy and the use wilt be in a 0,0 0-nce�°the lam, rules and regulations of the State of Washton
and the City of Federal Way.
Owner or agent:
C)7� ✓� ��
'1 Date: S —
A- 9.I'v...- 4O (0/fl'/09
THIS CARD IS TO MAIN ON-SITE .- ,
CITY OF ommunity Developant Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101967-00-EL
Owner: ESM BUILDING LLC
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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
- 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved ]
By Date By Date Date 6---- (O —
• 13`/
❑ Final-Electrical(4055)
Approved
By 0...m-L, Date 6._tri_
Oq
FILE
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date