Loading...
14-101612 • Electrical City of Federal Way Community FILE 33325 8th LPermit #: 14-101612-00-EL Federal Way,WA 98003 Request Inspection Line: 835-3050 Ph:(253)835-2607 Fax(253)835-2609 p (253) Project Name: LIFE CARE CENTER Project Address: 1045 S 308TH ST Parcel Number: 082104 9042 Project Description: Remove baseboard heaters and install outlets for PTAC units in rooms 102 to 114 and rooms 201 to 214.Reuse existing conduits and power panels.Property owner provided materials. Owner applicant Contractor FEDERAL WAY CONVALESCENT CENTER MUNION&SETH ELECTRICAL CONTR LLC MUNION&SETH ELECTRICAL CONTR 3001 KEITH ST NW 22433 SE 296TH ST LLC CLEVELAND TN 37312 BLACK DIAMOND WA 98010 MUNIOSE002D7(4/3/16) 22433 SE 296TH ST BLACK DIAMOND WA 98010 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 No Fixtures Associated With This Permit!! CONDITIONS: Contractor to provide load calculation for new work.The load calc will be available to City inspector at first inspection. 4 -kic4-(Z3 PERMIT EXPIRES Monday, October 6, 2014 Permit Issued on Wednesday,April 9, 2014 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. [� l Owner or agent: ,,C�ti f Date: l THIS CARD IS TO MAIN ON-SITE III& CITY OF • Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-101612-00-EL Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT ( 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. Slab/Concrete Floor(4255) El Service(4235) 0 Feeders/Sub-panels(4045) Approved to place concrete Approved Approved By Date By Date By Date 0 Rough Electrical(4225) El Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved By Date By Date By Date 9v1 � �)tJp tEl Rough Electrical Final Electrical g I Right of Way Approved Approved Approved By Date By Date By Date , • • , -' ` - cam. e-� '� ` 4 ELECTRICAL c.of .8A), -. 0 \0e.. 1 CSA k r'1 s. 'ice a:'� . Federal Way avec-. C8-^h,°-,2 �, - v'e .A'ERMIT APP ION -u, p tr 't td.e l 42.0-4 Cca c 4-0--r- Q�Pt c v �-k . > _C/. C�1 _ -IG /.L � 1 _a .. APR 092014 CITY OF FEDERAL WAY aurrairtampArs SITE ADDRESS: S 0,44 S - ,;02 4A, VI et-,....‘ 41 " t VA VS c33 EE PRo3ECC VAWATPOR ASSESSOR'S TAX/PARCEL I CURRENT/PROu $ -10005 - - - • PROJECT NAME /� �/ _ �^ (Tenant or Homeowner Last Name) I—I e .6 ( YI -C.U! Fe-Aar-2m_ �},�,,^ ee tri btA bcs.e b cr�J ke 'ts av►CX rice (rev-ia-T Pi4c PROJECT DESCRIPTION aft 14 Sc,,/[ '. 2°0015u/.s S /0c2 1/4/ .2/101.2/101 goons .2o/ )1-(309/ - & e'x-, Detm7ed description of work m V/ eandr (-s` 44ist rpieloy) Olaxer reminded on this permit onlyp tatAded i174-7- , . EKE muter PRONE PROPERTY OWNER ( A, c_ Cay-t-C .k- E c2S7 )To.- 22.4.3 MAfl G*ua1RlSS ENraa ` STATE ZIP FAX Q-6,4 WeAll \,a cw:).03 • ty91.1114, 8143 , PRIMARY 1$11048 Falun` t t:ire ilea-r. :G e' ;tic t A )7n -.. I EI .ccRlcel00;03 ..,C6- ,,V .711 ST f�I�ir�� � eer . CONTRACTOR :A: ©id; u �o�a . ti�) 6 - !f WA STATE CONTRACTOR'S LICENSE# TION LATE SEAL WAY # - 3--CO->3 r�'IuiU�Ysc-- 467 7 A�4'r� do o L EAWa PRIMARY MORE APPLICANT 2e/L w1(C71 _ (201,) 71( — IIAIIi/9ADDlWBS QTV STATE SOP PAX ( ) - PAHfASYPHOSE PROJECT CONTACT � c-fC_. rr,tic i w A . ( a4) 716- 07,74y I cart*under penalty of perjury that I sae the property owner or authorised agent of the proper owner.I certify that to the best of my knowledge,the irtfbrstaiio*submitted in-support qf this permit application is true and correct.I certify that I mill comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility far compliance with local, stat, or federal laws regultdieg construction or environmental laws. and .fees incurred in I further vire*to hold has mless the City of Federal Way as to any claim(including costs,expenses, the invests ation and agleam m a f such which maybe made by NW person,including the aaadeesiyesd,aniseed algebra the but only where such claim adore out of the reliance et the city, including its aff!oers and employees, apse the accuracy of the , information srad-trase city a asp- t this amnesties. Ø4i SIGNATURE � ../../.virDATE PRINT NAME: ( E !!rr Bulletin#160—January 1,2013 Page 1 of 2 k\Handouts\Electrical Permit Application