15-105201 •
• Electrical
City of ay
Community&Econ.ral Dev Services Permit #: 15-105201-00-EL
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: PROMINENCE HEALTH PLAN SERVICES
Project Address: 33820 WEYERHAEUSER WAY S Parcel Number: 215466 0040
Project Description: Low Voltage Voice and Data cable
,
Owner Applicant Contractor
M J R DEVELOPMENT JIM BRASSFIELD B&C TELEPHONE INC dba BLACK BOX
6725 116TH AVE NE BLACK BOX NETWORK SERVICES NETWORK SERVICES
KIRKLAND WA 98033 800 SW 34TH ST SUITE A BCTELCT882J3(4/2/16)
RENTON WA 98057 800 SW 34TH ST SUITE A
RENTON WA 98057
•
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
Low Voltage-Other(Commercial I
PERMIT EXPIRES Sunday, April 10, 2016
Permit Issued on Tuesday, October 13, 2015
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
ONLINE Date:
4 Gil e-Cli C-eA L i(15 w filets r S • i c1
r +y�4
THIS CARD IS TO IN ON-SITE
"„ • Construction In ection Record
Federal Way •
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-105201-00-EL Address: 33820 WEYERHAEUSER WAY S
Project: M J R DEVELOPMENT FEDERAL WAY, WA 98003
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.
0UFER Ground (4295) 0 Ditch cover(4030) '0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) ,El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) *0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By 1M3 Date I1 12- tic'
e �
o Final-Electrical(4055)
Approved
By Date
El Rough ElectricalGI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date