10-100108 •
# Electrical
City of Federal Way
Community Development Services Permit #: 10-100108-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Provide/install low voltage CCTV system in Bldg A Pharmacy
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM CHERYL HOUSE ALLIED SAFE&VAULT CO INC
34515 9TH AVE S ALLIED SAFE&VAULT ALLIESV275BB(1/31/12)
SEATTLE WA 98003 3057 E VALLEY RD 3051 E VALLEY RD
RENTON WA 98057 RENTON WA 98057
Is Use Educationalaor Institutional? No Service greater than 1000 Amps? No
Low Voltage-Burglar Alarm(Cor 1
PERMIT EXPIRES Tuesday, January 11, 2011
Permit Issued on Monday,January 11, 2010
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 ity of Federal Way. ,A ' fto
Owner or agent: U Date:
4 /144°
.. • % ' THIS CARD IS TOEMAIN ON-SITE '
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-100108-00-EL Address: 34515 9TH AVE S
Owner: FRANCISCAN HEALTH SYSTEM 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) ❑ Ditch cover(4030) ❑ 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
O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
Bye Date , . ..
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date