13-104067 • • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104067-00-EL
33325 8th Ave S
FILE
Federal Way,WA 98003 Request Inspection Re t Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: COMFORT DENTAL OF FEDERAL WAY
Project Address: 31401 PACIFIC HWY S Parcel Number: 082104 9216
Project Description: Install Voice and data cable for Low Voltage
Owner Applicant Contractor
COMFORT DENTAL PHILIP LAVERY TELESYSTEMS WEST INC
1014 S 320TH ST SUITE E TELESYSTEMS WEST INC TELESWI005LH(6/8/14)
FEDERAL WAY WA 98003 11232 120TH AVE NE SUITE 111 11232 120TH AVE NE
KIRKLAND WA 98033 KIRKLAND WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? Yes
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Wednesday, March 12, 2014
Permit Issued on Friday, September 13, 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
th ty f ral Way.
Owner or agent: Date:
FINALED
• THIS CARD IS TO IN ON-SITE
"TY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104067-00-EL Address: 31401 PACIFIC HWY S
Project: COMFORT DENTAL FEDERAL WAY, WA 98003-5405
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.
El UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
13 Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By3--Zs Date\(3.—z�/3
0 Final-Electrical(4055)
Approved
Date (ig,9//> ,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date