14-100756 • III
Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-100755-00-EL
33325 8th Ave S
Federal Way,WA 98003 e
Ph:(253)835-2607 Fax:(253)835-2609 FILE Inspection (253)835 -3050
Request Line:
Project Name: ST FRANCIS HOSPITAL PHARMACY
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Low Voltage Voice and Data cable
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM-W JIM BRASSFIELD B&C TELEPHONE INC dba BLACK BOX
1717 SO"J"ST BLACK BOX NETWORK SERVICES NETWORK SERVICES
TACOMA WA 98405 800 SW 34TH ST SUITE A BCTELCT882J3(4/2/14)
RENTON WA 98057 800 SW 34TH ST SUITE A
RENTON WA 98057
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical Fixtures
Low Voltage-Other(Commercial 25
PERMIT EXPIRES Monday, August 18, 2014
Permit Issued on Wednesday, February 19, 2014
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 i o ral Way.
Owner or agent: Date:
FINALED
PATE INSPECTOR, AREA AND TYPE co INSPECTION
4. ,..
THIS CARD IS TO MAIN ON-SITE
CITY OF s..." Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100756-00-EL Address: 34515 9TH AVE S
Project: FRANCISCAN HEALTH SYSTEM-VV FEDERAL WAY, WA 98003-6761
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.
O UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved J
By Date By Date By Date 4'"261✓//
O Final-Electrical(4055)
Approved
By Date "367- je..4
FILE
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date