13-102260w► l 9
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GERIATRIC DENTAL GROUP
Project Address: 728 S 320TH ST Suite A
Project Description: Six Cat5e data cables installation
E
Elbctrical
Permit #: 13 -102260 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9050
Owne
Al2RIicant
Contractor
GERIATRIC DENTAL GROUP OF WA
PHILIP ROHMER
P W R CONSULTANTS & CONTRACTING
STATE
P W R CONSULTANTS & CONTRACTING
PWRCOCI997QF (11/7/13)
728 S 320TH ST SUITE A
6910 ROOSEVELT WAY NE
6910 ROOSEVELT WAY NE PMB 202
FEDERAL WAY WA 98003
SEATTLE WA 98115
SEATTLE WA 9811
Additional'Permit Infonnati4rt
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Low Voltage - Other (Commercial; 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Saturday, May 23, 2015
Permit Issued on Thursday, May 23, 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
d the City of Federal Way.
Owner or agent: Date: 5%23,/33
ONLINE
CITY OF
Federal Way
PERMIT #:
Project:
. THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -102260 -00 -EL Address: 728 S 320TH ST Suite A
GERIATRIC DENTAL GROUP OF VI FEDERAL WAY, WA 98003
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)
E]
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
,.y Approved
Date S
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
,.y Approved
Date S
Rough Electrical
Approved
Final ElectricalRight
Approved
of Way
Approved
By
Date
By
Date
By
Date