11-104272 • Electrical
City of Federal Way.
•Community Development Services '
Permit #: 11 -104272-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 FInspection Request Line: (253)835-3050
Project Name: NORTHWEST CHURCH
Project Address: 34800 21ST AVE SW Parcel Number: 542350 0630
Project Description: Adding/altering(3) circuits to instalr l ductless mini-split,exhaust fan w/line-volt t-stat,
smoke/fire damper
,
Owner Applicant Contractor
FEDERAL WAY FOURSQUARE CHURCH JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
DBA NORTHWEST CHURCH AIR SYSTEMS ENGINEERING (ELECTRICAL)
34800 21ST AVE SW 3602 S PINE ST AIRSYEI009KS (5/10/12)
FEDERAL WAY WA 98023 TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Circuits-Commercial 3
PERMIT EXPIRES Friday, October 19, 2012
Permit Issued on Thursday, October 20, 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
Owner or agent: ONt.iIIE eral Way. n /z o� Date: !
SAe/r7/V-
•
• . . THIS CARD IS TO MAIN ON-SITE
Construction
OF I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-104272-00-EL Address: 34800 21ST AVE SW
Project: FEDERAL WAY FOURSQUARE CH FEDERAL WAY, WA 98023-3044
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.
❑ UFER Ground (4295) CI Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
CI Pool Bonding(4195) 0 Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
'
0 Feeders/Sub-panels(4045) 'El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.El Final-Electrical(4055)
Approved
By Date 0 —` �-1*)__.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date