12-102323 • "Electrical
City of FederalWay
Community&Econ.
Dev.Services Fil
Permit #:. 1210232300E L
33325 8thth Ave S
Federal Way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: EVERGREEN EYE CENTER
Project Address: 34719 6TH AVE Sc
Parcel Number: 202104 9178
Project Description: disconnect/reconnet to replace RTU,new flexible whip,replace t-stat
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 (5/10/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 1 Thermostat. 1
PERMIT EXPIRES Saturday, May 24, 2014
Permit Issued on Thursday, May 24, 2012
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
a e of I Way.
Owner or agent: Date:
� .>✓97// 14/
THIS CARD IS TO .MAIN ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102323-00-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 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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By 'moi Date WI
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date