15-105722 III - - l€ tr cal
City of Federal Way •
Community Econ.Dev.Services Permit #: 15-105722-00-EL
33325 8th Ave S
Federal Way,WA 98003 Fills
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number: 082104 9042
Project Description: Install 208V, 1 phase circuit to serve new mini-split system in elevator machine room. New
t-stat.
Owner Applicant Contractor
FEDERAL WAY CONVALESCENT CENTER JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
3001 KEITH ST NW AIR SYSTEMS ENGINEERING (ELECTRICAL)
CLEVELAND TN 37312 3602 S PINE ST AIRSYEI009KS(5/10/16)
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 Fixtures
Circuits-CommerciaL 1 Thermostat. 1
PERMIT EXPIRES Sunday, May 8, 2016
Permit Issued on Tuesday, November 10, 2015
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:
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.THIS LARD IS TO IN ON-SITE ' . ' .
CITY
OF "'. Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105722-00-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.
LIFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
E l Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved
Approved
By Date By Date By Date
• Feeders/Sub-panels(4045) 00 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By Date t S__ (.6
D Rough Electrical El Final ElectricalID Right of Way
Approved Approved
Approved
By Date By Date By Date