15-104969 -_- '-. S 0 • 'Electrical
City of Federal Way Permit #: 15-104969-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
w Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL IL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: LOAD BANK TEST OF(2)500KW GENERATORS
Owner Applicant Contractor
JOHN ELSWICK BRANDON VINCENT PRIDE ELECTRIC INC
FRANCISCAN HEALTH SYSTEM-W PRIDE ELECTRIC INC PRIDEEI077DR(3/19/17)
1717 S"J"ST 18133 NE 68TH ST D120 18133 NE 68TH ST SUITE D120
TACOMA WA 98405 REDMOND WA 98052 REDMOND WA 98052
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder over 1000 amps 1
PERMIT EXPIRES Monday, March 28, 2016
Permit Issued on Wednesday, September 30, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the ...a. w=L•+•m••r-, -- • • le laws, rules and regulations of the State of Washington
,- - .�!- City ofFe•- - � - .
v . . 9,) o /c
Owners agent: Vr;1 1D4 ... : Date:
east)
ILA,
( ' %4‘..0 ir n
THIS CARD IS TO REMAIN ON-SITE
CITY OF �' • Construction Insu ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104969-00-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.
E UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
B ---- Date t.,0 I `�
y Rough Electrical Ei
Final Electrical El
Right of Way
Approved Approved Approved
By Date By Date By Date
iI3z-4s
• ELECTRICAL
CITY OF
Federal Way PERMkgcMl .ICATION
PERMIT NUMBER 'S ( 0 - 9 G q a0 SEP 3 0 2015
CITY OF FEDERAL WAY
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: 34515 9th Ave S
D4 O OVALUATION ASSESSOR'STAX/PARCEL#5- 1
1 — 0 ,010
� 1 ® CURRENT/PROPOSED USE
PROJECT NAME St Francis Load Bank Testing
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION Load Bank Testing of (2) 500KW Generators
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Pride Electric, Inc. (425) 454 - 3665
MAILING ADDRESS E-MAIL
ELECTRICAL 18133 NE 68th St, D-120 mrussell@prideelectric.com
CONTRACTOR CITY STATE ZIP FAX
Redmond WA 98052 (425 )497 - 8700
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PRIDEEI077DR 03/19 17 19-93-103795-00-BL
NAME PRIMARY PHONE
Mark Russell ( 425) 454 - 3665
APPLICANT MAILING ADDRESS E-MAIL
18133 NE 68th Street, D-120 mrussell@prideelectric.com
CITY STATE ZIP FAX
Redmond WA 98052 (425 )497 _ 8700
NAME PRIMARY PHONE
PROJECT CONTACT Mark Russell (425 )454 - 3665
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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 defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup•l' • ' •• c is a•plication.
C://SIGN• W161111111111r1PIIPLA - y 1► — DATE g® >/�
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application