Loading...
18-103168Electrical City ofFedendWay Permit #:18 -103168 -00 -EL Community Development DepL 33325 8th Ave SFILE Federal way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 8352607 Fax (253) 835-2609 Project Name: FRANCISCAN HEART & VASCULAR ASSOCIATES Project Address: 34509 9TH AVE S Parcel Number: 750451 0010 Project Description: Electrical service to include changes to lighting, outlets, switches, fire strobes and low voltage cable relocates. Owner Applicant Contractor CHI FRANCISCAN HEALTH STAN THOMPSONTHOWSON ELECT THOMPSON ELECTRICAL 1623 MARTIN LUTHER KING WAY CONSTRS INC CONSTRUCTORS INC TACOMA WA 98405 150 S 100TH ST THOWECO08CW (2/16/20) TACOMA WA 98444 PO BOX 45260 TACOMA WA 98445 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes -.;.F Aa i Circuits - Commercial 3 PERMIT EXPIRES. Friday, 19 July, 2019 Permit Issued on Thursday, July 19, 2018 1 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: a THIS CARD IS TO REMAIN ON-SITE crrr os lA� � ; Federal Way Construction Inspection Record Y INSPECTION REQUESTS: (253) 835-3050 PERNIIT #: 18103168 00 Address: 34509 9TH AVE S Unit 304 Project: CHI FRANCISCAN HEALTH FEDERAL WAY WA 98003-6700 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, ispproved. 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. i❑ UFER Ground (4295) 0 Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved Approved 1By Approved Approved By Approved to place concrete By By Date By Date By Date Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date \- Feeders/Sub-panels (4045) ® Rough Electrical (4225) Final Electrical Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date ._.t Final - Electrical (4055) Approved By Date \- Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF A Federal Way RECEIVE® ELECTRICAL JUL 19 2018 PERMIT APPLICATION CITY OF FEDERAL, WAY COMMUNITY DEV PMEK RMIT NUMBER SITE ADDRESS' 2� 5-O Q " _J ( SUITE/UNIT/SPACE # 3`�7 PROJECT VALUATION ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) Nvi S 1,5 G " l� U PROJECT DESCRIPTION Detailed description of work to be included on this permit only � O,)TLLI Q7 1 � S i IdS - LA; "IC� S '1 Ll/hIf Oi.�l cj,J Ce_ r i (ocwkS NAME PRIMARY PHONE PROPERTY OWNER Ft"S;sc"(Z53) 61-7 - # (00 MAILING ADDRESS E-MAIL '5�T S �eQ- CITY STATE I ZIP FAX NAME �m rfc�-�'cc ce,,1s�c� PRIMARY PHONE (2_53)5�g 0o ,?? MAILING ADDRESS E-MAIL ELECTRICAL / �Q � , ( 0 0 r1 -A1 S o C o C,+M 0 rs . CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE f! EXPIRATION DATE "r*OM?EG ao g Gc) z �G z� FEDERAL WAY BU INESS LICENSE # d/- 10296 I PRIMARY PHONE NAME i S ra.► ( ) - APPLICANT MAILING ADDRESS E-MAIL CITY CITY 7 STATE ZIP FAX ( ) - PROJECT CONTACT NAME -M" PRIMARY PHONE JVD Y (2S3) 2555- 91(o,3 /(o3 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best Of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. PRINT NAME: Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application e r4