17-102770 1
Electrical
City of Federal Way Permit #:17-1.02770-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: TELECARE RESIDENTIAL TREATMENT FACILITY
Project Address: 33480 13TH PL S Parcel Number: 768190 0020
Project Description: Install(14)thermostats for associated tenant improvement project.
Owner Applicant Contractor
TELECARE MENTAL HEALTH SERVICE OF EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
WA (ELECTRICAL) (ELECTRICAL)
1080 MARINA VILLAGE PKWY SUITE 100 727 S KENYON ST EVERGRL882JB(4/2/18)
ALAMEDA CA 94501 SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Thermostat 14
PERMIT EXPIRES Saturday,9 June,2018
Permit Issued on Friday,June 9,2017
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.
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Owner or agent: Date:
•
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102770 00 Address: 33480 13TH PL S
Project: TELECARE MENTAL HEALTH SEI 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.
i
® UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) j.ci
Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By i-, •
'� Date oic_%q _C) s By Date
Ill Final-Electrical(4055)
Approved
By ( ) Date I/ , 1
Rough Electrical Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
ANN..: RECEIVED ELECTRICAL
CITY OF
Federal Way JUN 0 9 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY �}
COMMUNITY DEVELOPMENT 1 — I C 7 7 - 0 0
PERMIT NUMBER
SUITE/UNIT/SPACES
SITE ADDRESS: v� B 13 P I , $
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 11 5'2,0 ,(rte "1 b 1 e1 d - 0 v 2 L>
PROJECT NAME
(Tenant or Homeowner Last Name) Te((moi.i�l.
PROJECT DESCRIPTION --L'cI57-'(`N`T''n OC- 1'o'ir.tZ?A'1 C t '}`} t'ti2J'wlc:"'fr; .
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 11? 'in' (..v f'i`i c>.1,4-iL}1 ( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME`�--.- PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
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APPLICANT MAILING ADDRESS
'�/�I” EMAIL
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