14-100846rT
Electrical
Permit #: 14 -100846 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ST FRANCIS HOSPITAL PHARMACY
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Low -voltage wiring for energy management system & thermostats.
Owner
Applican
Contractor
JOHN ELSWICK
City of Federal Way
COMMERCIAL WIRING
Community & Econ. Dev. Services
620 6TH ST S
33325 8th Ave S
1717 S "J" ST
Federal Way, WA 98003
620 6TH ST S
Ph: (253) 835-2607 Fax: (253) 835-2609
LE
rT
Electrical
Permit #: 14 -100846 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ST FRANCIS HOSPITAL PHARMACY
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Low -voltage wiring for energy management system & thermostats.
Owner
Applican
Contractor
JOHN ELSWICK
COMMERCIAL WIRING
COMMERCIAL WIRING
FRANCISCAN HEALTH SYSTEM -W
620 6TH ST S
COMMEW*895NT (8/30/15)
1717 S "J" ST
KIRKLAND WA 98033
620 6TH ST S
TACOMA WA 98405
KIRKLAND WA 98033
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;
Thermostat ..................................... 2
PERMIT EXPIRES Saturday, August 23, 2014
Permit Issued on Monday, February 24, 2014
I hereby certify that the abqyQ information is correct and that the construction on the above described property and
the occupancy and tt se ill be in accordame—e3ilvith the laws, rules and regulations of the State of Washington
and City of alrWay.
Owner or agent: Date:
`FINALED
CITY OF
Federal Way
PERMIT #:
Project:
14 -100846 -00 -EL
JOHN ELSWICK
THIS CARD IS TO -"AIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835.3050
Address: 34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
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.
E]
UFER Ground (4295)
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Pool Bonding (4195)
Approved
By
Date
1:1Approved
Right of Way
By
Feeders/Sub-panels (4045)
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
Date S—_
E]
Temporary Power (4275)
Approved
By
Date
1:1Approved
Right of Way
By
Rough Electrical (4225)
Approved
By
Date
Service (4235)
Approved
By
Date
1:1Approved
Right of Way
By
Ceiling Cover (4020)
Approved
Bf
Date3--
Rough Electrical
Approved
M
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
0- Q_&
CITY OF
FederI OV ELECTRICAL
FEB 2 4 2014PERMIT APPLICATION
'�tPlcal permits ma be obtained on-line at www.ci o ederalwa .Com**
E t
f
le-SUSITE ADDRESS: Ale-
ITE/UNIT/3CE#
SUITE/UNIT/ E
ASSESSOR'S TAX/PARCEL #CNT/PROPO ED USE
7
K IN
PROJECT NAME^
/
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
e?X p J f' %A f P 1S : •' j e?`T sc'!` S c�,t C : ,( jz
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME. ] it I
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PRIMARY PHONE
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MAULING AD RESS ii
E-MAIL
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ZIP
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FAX
NAME
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PRIMARY PHONE
—`ISS
ELECTRICAL
MAILING ADDI r
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CONTRACTOR
CITY § j r4 _ >
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FAx
WA STATE CONTRACTOR'S LICENSE # FAP1+wTION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME r / l /y
PRIMARY PHONE
,4715r)301 _`77-513
l
APPLICANT
MAULING ADD1 -7. lIESS
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PROJECT CONTACT
PRIMARY P�30NE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defe o such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such Im es out of the re ' e J the city, including its officers and employees, upon the accuracy of the
irijormation supplie,4k t as a part of t app ' ation. �
SIGNATURE: DATE Z
PRINT NAME:
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 k:\Handouts\Electtical Permit Application