14-100045 .e
• 0 Electrical
City of Federal Way A (� (�/� (� C
Community&Econ.Dev.Services Permit #: 14-1 00045-00-E L
33325 8th Ave S
Federal Way, 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax
ecq
:(253)835-2609 - p
Project Name: PAC MED 2ND FLOOR EDUCATION ROOM
Project Address: 33501 1ST WAY S Suite 200 Parcel Number: 926504 0010
Project Description: Electrical work in conjunction with tenant improvements.
Owner Applicant Contractor
VIRGINIA MASON CLINIC THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL
1100 9TH AVE S INC CONSTRUCTORS INC
SEATTLE WA 98101-2756 PO BOX 45260 THOMPEC008CW(2/16/14)
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
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
Circuits-Commercial 2
PERMIT EXPIRES Saturday, July 5, 2014
Permit Issued on Monday, January 6, 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
and the City of Federal Way.
Owner or agent: 0-(,�,f; /0U A 4 I2 Date: ll6/N
FINALED
THIS CARD IS TO ''MAIN ON-SITE
c,rr OF V''4:-`"",%-,,,,_..,‘' • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-100045-00-EL Address: 33501 1ST WAY S Suite 200
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 LIFER 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) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) El Rough Electrical(4225) ElCeiling Cover(4020)
Approved Approved Approved
By Date By Date y 9 By Date
El Final-Electrical(4055)
Approved
ByyC S Date --e--e _ter
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RtitEIVED •
CITY OF ,,:,,,,,,‘ ELECTRICAL
Federal Way JAN 0-6 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY
/ ` / CDS
PERMIT NUMBER y _ / D �l 0 K — c_
SUITE/UNIT/SPACE#
SITE ADDRESS: Di `-S'1' (�a.4.4 i -00
PROJECT VALUATION ASSESSOR'S AX ('/PARCEL i x,2tli CURRENT/PROPOSED USE
$ � 3'13' °° _ _
PROJECT NAME p /��
(Tenant or Homeowner Last Name) / "t 6 Fi(' c
eot;c .J/
Cell Xer-
•Re locaa-e C99 zxq 71E0 cfrr • add (i') jwi''c-1-, • Add Ion toc
PROJECT DESCRIPTION Cc AIC s /tr la C"le ()da.fot,(/) ' . 1 w mor.'Aee 1..C f-c
Detailed description of work to c'ro 4oni/SVfrohtr
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (AG!/f,/J (,. ( ) -
MAILING ADDRESS at...1.--41-..
E-MAIL
CITY STATE ZIP (/ FAX
( )
NAME
PRIMARY PHONE
/Aa/VS. ��eGTY e0-7 (v)-Isci{ructors ( )63) 559 _C cir/'Li
MAILING ADDRESS E-MAIL
ELECTRICAL /50 0 /6011" Si. Stx.dt, -Are) EN)isoiCo*51rtci-cvc'.*-__
CONTRACTOR CITY STATE ZIP FAX
7�tCa)n-1<:_ WA `S.- Y-8 (cis 3 ) `33 -0/0 /
WA STATE CONTRACTOR'S LICENSE# TION DATE/ 7 FEDERAL WAY BUSINESS LICENSE#
MA`GC GU�C'vr/ ���(�c. - � � 1 v2g' 8L
NAME
PRIMARY PHONE
APPLICANT • t�'Y c_t L- ( ) -
MAILING ADDRESS
E-MAIL
CITY STATE ZIP FAX -
NAME ( )PRIMARY PHONE
PROJECT CONTACT ��
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 supplied to the city as a part of this application.
SIGNATURE: � R_.cu-n c.)C -L4 DATE i ..("). i 43
T..
PRINT NAME: I t'r t4/Ad-e y
Bulletin#160-January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application