13-102313 411 ., 3 + 'Electrical
City
Way F--
Community&Eco.orviceg Permit #: 13-102313-00-EL
33325 8th Ave S r t
Federal way,WA 98003 At_ „� _y� Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: ST FRANCIS HOSPITAL KITCHEN REMODEL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Electrical work for kitchen remodel
Owner Applicant Contractor
JOHN ELSWICK CHRISTOPHER I BARKER,PE SEQUOYAH ELECTRIC LLC
FRANCISCAN HEALTH SYSTEM-W COFFMAN ENGINEERS SEQUOEL977S9(1/29/15)
1717 S"J"ST 1601 FIFTH AVE SUITE 900 15135 NE 92ND ST
TACOMA WA 98405 SEATTLE WA 98101-1620 REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application? No Is Use Educational or Institutional Yes
Service greater than 999 Amps? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, November 24, 2013
Permit Issued on Friday, June 7, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us I be in accordanc with the laws, rules and regulations of the State of Washington
a a t'e City of - eral Way.
Owner or agent: Date: X17/ 1
',DATE INSPECTOr AREA AND TYPE r"'' INSPECHON
N• i\ l V.AK-eks v Imo-`
7- )b- X
0 C
THIS CARD IS TOOMAIN ON-SITE _ j
art Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-102313-00-EL Address: 34515 9TH AVE S
Project: JOHN ELSWICK 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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) '0 Temporary Power(4275) .0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By .—
Date (..._ By Date
o Final-Electrical(4055)
Approved f
By lkAts Date 4422, ( 3
•
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED 36 Vi G
M 8 2013 E1CTRICAL
CITY OF
Federal Way CITY OF FCEDDSRAL WAY PERMIT APPLICATION
PERMIT NUMBER /`/ - / o a 3 L3 - ✓C/
SUITE/UNIT/SPACE it
SITE ADDRESS: 345154N-1 Ave South - Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL N CURRENT/PROPOSED USE
$ 10,000 750451 - 0020 _ _ _ _ _ Hospital
PROJECT NAME St. Francis Hospital - Kitchen Remodel
(Tenant or Homeowner Last Name)
Kitchen Remodel
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER St. Francis Hospital ( 253) 944 - 8100
MAILING ADDRESS E-MAIL
34515 8th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME
PRIMARY PHONE
I ,� Anderson Construction ( 2 0 6) 763 _ 6 712
MAILING ADDRESSE-MAIL
ELECTRICAL 900 Poplar PL. . n
CONTRACTOR CITY ATE ZIP FAX
(;:..4 6)R3—'fT
WA WA 9CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
NAME PRIMARY PHONE
Coffman Engineers (206) 623 - 0 717
APPLICANT RAILING ADDRESS E-MAIL
1601 fifth Ave. Suite 900 barker@coffman.com
CITY STATE ZIP FAX
Seattle WA 98101 ( 206) 624 _ 3775
NAME PRIMARY PHONE
PROJECT CONTACT Chris Barker
( 206) 623 - 0717
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and fence of such claimk which may be made by any person,including the undersigned,and filed against the city,
but only where such laim a4ses out,of t reliance of the city, including its officers and employees, upon the accuracy of the
information suppl tip the ci a pof this application.
``'� 7I
SIGNATURE: il J' L / �. VJ � DATE 5/21/
PRINT NAME: (_ }�' \ Ili --z-1(- .
Bulletin#160-January 1,2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application