16-103449 ' - Electrical
City of Federal way Permit #: 16-103449-00-E L
Community 8 Econ.ivev.Services
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2609
Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number. 082104 9042
Project Description: Add circuit for coffee maker
Owner Applicant Contractor
FEDERAL WAY CONVALESCENT CENTER CASEY GERSTNER C M G ELECTRIC LLC
3001 KEITH ST NW C M G ELECTRIC LLC CMGELMG941QG(11/07/16)
CLEVELAND TN 37312 31448 55TH AVE S PO BOX 66
AUBURN WA 98001 AUBURN WA 98071
Additional Permit information
Electrical Work Valuation 1850.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Add'l New Feeder(s)0-100 amp(C 1
PERMIT EXPIRES Tuesday, July 18, 2017
Permit Issued on Monday, July 18, 2016
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:
ONLINE
• THIS CARD IS TO ON-SITE
�^�� ' ' (onstruct2on In ection Record
Fe ` INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-103449-00-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 THI 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.
El ITFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
c . .
Pool Bonding(4195) El Temporary Power(4275) 'El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020)
.
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055) a
Approved
By 0 Date ti,2tlei
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date