09-101641 City of Federal Way • 110
1 Electrical
Community Development Services Permit #: 09-101641-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609Pit Inspection Request Line: (253)835-3050
Project Name: NATURAL HEALTH CENTER
Project Address: 33650 6TH AVE S SUITE 100 Parcel Number: 926480 0210
Project Description: Installation of 2 VAV controls
Owner Applicant Contractor
SUNLIFE ASSURANCE CO OF CANADA PUANANI KELLY E S C AUTOMATION
121 SW MORRISON ST SUITE 200 E S C AUTOMATION ESCAUI*960RA (1/8/11)
PORTLAND OR 98101 22121 17TH AVE SE SUITE 116 22121 17TH AVE SE SUITE 116
BOTHELL WA 98021 BOTHELL WA 98021
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Is Use Educational or Institutional" No Service greater than 1000 Amps" No
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Low Voltage-Other(Commercial. 2
PERMIT EXPIRES Tuesday, May 4, 2010
Permit Issued on Monday, May 4, 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
and the City of Federal Way.
Owner or agent: Date:
RECEIVED
MAY 0,4 2009
CITY OF FEUE.Rtn
CDS;
Flirt a 17-1
109
- THIS CARD IS TO MAIN ON-SITE
- - 41441, ' '
CITY OF ommunitY Developuffint Inspectionection Record
Federal WayIVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101641-00-EL
Owner: SUNLIFE ASSURANCE CO OF CANADA Pit
k*
Address: 33650 6TH AVE S SUITE 100
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 By Date
- -❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By . • Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date 5.0 '67
O Final-Electrical(4055)
Approved
B e5 Date CJ' —/ i
i
i
1
•
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date