13-100315f 7
t
Electrical
Community & Eco�n.�CevWay
ervicesPermit #: 13 -100315 -00 -EL
33325 8th Ave S FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: US HEALTHWORKS
Project Address: 1300 S 320TH ST Parcel Number: 082104 9241
Project Description: Low Voltage Voice/Data Cable
Owner
US HEALTHWORKS
A I�
ROBERT CAMERON
Contractor
EFFICIENT COMMUNICATION SOLUTIONS
1300 S 320TH ST
EFFICIENT COMMUNICATION SOLUTIONS
INC
FEDERAL WAY WA 98023
INC
EFFICCS944M5 (7/25/14)
3702 W VALLEY HWY N SUITE 302
3702 W VALLEY HWY N SUITE 302
AUBURN WA 98001
AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or h
Service greater than 999 Amps? .............................No
Low Voltage - Other (Commercial 19
PERMIT EXPIRES Thu
Permit Issued on Tues
I hereby certify that the above information is correct a
the occupancy and the use will be in acco.[dan�rl�ll
Owner or agent:
y �
C
w
the laws, s A
y of Fed
.............. No
5
on on the above described property and
regulations of the State of Washington
Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100315 -00 -EL Address: 1300 S 320TH ST
US HEALTHWORKS FEDERAL WAY, WA 98003-5340
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.
FILE
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
LIFER Ground (4295)
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
FILE
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
FILE
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date