09-101648 • —
•City of Federal Way 410 • Elect`rical
Community Development Services Permit #: 09-101648-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718FILE
Ph:(253)835-2607 Fax:(253)835-2609 p Ins ection Request Line: (253) 835-3050
Project Name: ST FRANCIS HOSPITAL STAFF LOUNGE
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Adding/altering(1)circuit for staff lounge remodel
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM THOMPSON ELECTRICAL CONSTRUCTORSmTHOMPSON ELECTRICAL
34515 9TH AVE S INC CONSTRUCTORS INC
SEATTLE WA 98003 PO BOX 45260 THOMPECOO8CW (2/16/10)
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
tdPermit 4
Is Use Educational or Institutional? No ce Service greater than 1000 Amps? No
.i,- � � J� �o: -�` ,,.r,:<,. ., ,c,6; ..--.a*" l,
Circuits-Commercial 1
PERMIT EXPIRES Wednesday, May 5, 2010
Permit Issued on Tuesday, May 5, 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 —E ?
FINALED
Gf'2 'oq
THIS CARD IS TO MAIN,ON-SITE -
CITY OF Community DevelopilEnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101648-00-EL
Owner: FRANCISCAN HEALTH SYSTEM
Address: 34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
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) 0 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
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By 1) Date J! 7'4 By Date 6 2 •a
❑ Final-Electrical(4055)
Approved
B Date ea '�!
It{I
For inspector reference only
--
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date