13-104517JKlectrical
City of FedeEcon. ev.S L permit #: 13 -104517 -00 -EL
Way
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 25
Ph: (253) 835-2607 Fax: (253) 835.2609 pec Q ( 3) 835-3050
Project Name: GROUP HEALTH CLINIC BASEMENT
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: Replace existing service entrance switchgear and MCC in basement. No additional loads or
feeders will be added
Owner
Applicant
Contractor
GROUP HEALTH COOP
VECA ELECTRIC CO INC
VECA ELECTRIC CO INC
12501 E MARGINAL WAY S
PO BOX 80467
VECAECI542MU (10/31/13)
TUKWILA WA 98168
SEATTLE WA 98108
PO BOX 80467
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C. application?.................No Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Srvc /Feeder 201- 600 amps(( 1 Alt. Srvc /Feeder over 10OQA
PERMIT EXPIRES Monday
Permit Issued on Wednesday,,
I hereby certify that the above information is correct
the occupancy and the use will be in accordance %I
Owner or agent:
3
ion on the above described property and
regulations of the State of Washington
Date: 11-6 — 1
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104517 -00 -EL Address: 301 S 320TH ST
Project: GROUP HEALTH COOP FEDERAL WAY, WA 98003-5200
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.
Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
Date ._ z4--/
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
c
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cirY of
Federal Way
PERMIT NUMBER l 1�3
RECEIVED
0 C T 11 2013
CITY OF FEDERAL WAY
i0-415CPSF_
ELECTRICAL
PERMIT APPLICATION
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
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PROPERTY OWNER
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE 9
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PROJECT CONTACT
NAMEPRDQARY
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I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certgy 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 authorised 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.
SIGNATURE:
PRINT NAME:
10 -1 I _Z0 ( '5
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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