16-101935 0 0 Electrical
City of Federal
Community&Econ.Dev.Services `ay
Permit #: 16-101935-00-EL
F 33325 8th Ave S
Federal Way,WA 98003 Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 I E p Q
Project Name: EVERGREEN EYE CENTER
Project Address: 34719 6TH AVE S Parcel Number: 202104 9178
Project Description: Disconnect/reconnect to replace heat pump and air handler#2.Install new thermostat.
Owner Applicant Contractor
JARSTAD FAMILY LLC JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
34719 6TH AVE S AIR SYSTEMS ENGINEERING (ELECTRICAL)
FEDERAL WAY WA 98003 3602 S PINE ST AIRSYEI009KS(5/10/18)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Electrical Work Valuation? 1069 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 2 Thermostat. 1
PERMIT EXPIRES Friday, April 21, 2017
Permit Issued on Thursday, April 21, 2016
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
oN i�t i deral Way.
Owner or agent Date:
y THIS CARD IS TO MAIN ON-SITE
CITYOF •
construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101935-00-EL Address: 34719 6TH AVE S
Project: JARSTAD FAMILY LLC FEDERAL WAY, WA 98003-8714
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'`"dpproved. 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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Datel,—, ,4.--il -
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date