11-103625 K Electrical
City of Federal Way III III
Community Development Services Permit #: 11-103625-00-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
Project Name: VIRGINIA MASON G
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: Add(1)20amp circuit for phone board
Owner Applicant Contractor
VIRGINIA MASON CLINIC DONNA CREBASE COCHRAN INC
1100 9TH AVE COCHRAN INC COCHRI*088JS(4/11/12)
SEATTLE WA 98101-2756 12500 AURORA AVE N PO BOX 33524
SEATTLE WA 98133 SEATTLE WA 98133
Is Use Educational or Institutional No Service greater than 999 Amps'' No
:moi
Circuits-Commercial 1
PERMIT EXPIRES Friday, September 7, 2012
Permit Issued on Thursday, September 8, 2011
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
0 and the City of Federal Way.
Kale
Owner or agent: Date: /8 /1(
FllALED q /i40 ft (
' , THIS CARD IS TO REMAIN ON-SITE r ,
cir,rciID
F Construction Ii ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103625-00-EL Address: 33501 1ST WAY S
Project: VIRGINIA MASON CLINIC FEDERAL WAY, WA 98003-6208
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.
0 UFER Ground (4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
`0 Final-Electrical (4055)
Approved
. d5c...''' '' Date q_6-7-_-11 l --1J
______)
. .
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date