15-102417 Electrical
City&Federal
W Way
Community 8 Econ. Services FILE
Permit #: 15 10241700E L
33325 8th Ave S
Federal Way,WA 98003 Ins ection Re nest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 pq
Project Name: ST FRANCIS MEDICAL OFFICE BUILDING
Project Address: 34509 9TH AVE S Parcel Number: 750451 0010
Project Description: Disconnect/reconnect to existing line voltage and controls associated with replacing
RTU-3.
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM W JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
1717 S J ST AIR SYSTEMS ENGINEERING (ELECTRICAL)
TACOMA WA 3602 S PINE ST AIRSYEI009KS (5/10/16)
98405 TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
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 1 Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Monday, November 16, 2015
Permit Issued on Wednesday, May 20, 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:
I ..IN.
Date:
[F N
Dt
• THIS CARD IST MAIN ON-SITE
CITY OF Construction I 311rection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-102417-00-EL Address: 34509 9TH AVE S
Project: FRANCISCAN HEALTH SYSTEM W FEDERAL WAY, WA 98003-6700
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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o 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 4 7 Date -7_ / (
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date