13-102150 • Electrical
City of Federal Way Permit #: 13-102150-00-EL
Community&Econ. ev.Services F I L E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line.
Ph:(253)835-2607 Fax:(253)835-2609 pectl 253 835-3050 4
Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number. 082104 9042
Project Description: Disconnect&reconnect(1)circuit to replace rooftop unit.Install(1)thermostat
Owner Applicant Contractor
FEDERAL WY CONVALESCENT CTR JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW AIR SYSTEMS ENGINEERING (ELECTRICAL)
CLEVELAND TN 37312 3602 S PINE ST AIRSYEI009KS (5/10/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
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 Fares
Circuits-Commercial 1 Thermostat 1
PERMIT EXPIRES Friday, May 15, 2015
Permit Issued on Wednesday, May 15, 2013
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.
Owner or agent: Date:
THIS CARD IS TO ON-SITE
CITY OF
11/A'- • Construction In ection Record \
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102150-00-EL Address: 1045 S 308TH ST
Project: FEDERAL WY CONVALESCENT C- FEDERAL WAY, WA 98003-4706
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.
0 LIFER Ground(4295) 0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
ApprovedBy pt
�_1b../ Date 'l L. 'L
•
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date