15-105177 •
Electrical
City of Federal Way
Community&Econ.Dev.Services i =--Permit #: 15-105177-00-EI
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S Parcel Number: 092104 9233
Project Description: Need Inspector to confirm no damage has occured to electrical of building.Puget Sound
Energy instructed us to have this done which they will confirm before they can reconnect
the power.
Owner Applicant Contractor
SEA-MAR COMM HEALTH CENTER SETH LUNDGAARD OWNER IS CONTRACTOR
1040 S HENDERSON ST 2000 116TH AVE NE SUITE 4
SEATTLE WA 98108 BELLEVUE WA 98004
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 201-600 amps(l 1
PERMIT EXPIRES Saturday, April 9, 2016
Permit Issued on Monday, October 12, 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 t. City of Federal Way. JJ II
Owner or agent: - Date: G0 G�— ' S`_
THIS CARD IS TO REMAIN ON-SITE f
CITY°F Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105177-00-EL Address: 31405 18TH AVE S
Project: SEA-MAR COMM HEALTH CENTEF FEDERAL WAY, WA 98003-5404
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.
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ 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
i
By Date LU
Date By Date
2 •
O Feeders/Sub-panels(4045) '❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By0....—\64 Date \ , S.--1 11
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date 1 By Date