15-102198Electrical
�4 & Federal W Way Permit #: 15 -102198 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 FILE
Ph. (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (253) 835050
Project Name: ST FRANCIS MEDICAL PAVILION
Project Address: 34505 91M AVE S Parcel Number: 7504510050
Project Description: 4 hour load bank test of emergency standby generator
Owner
WSC MEDPAV LLC
ARRIacan
AMANDA NOKES
Contractor
PACIFIC POWER GROUP LLC DBA PACIFIC
1700 7TH AVE SUITE 1800
PACIFIC POWER GROUP LLC DBA PACIFIC
POWER GENERATION
SEATTLE, WA 98101
POWER GENERATION
PACIFPG867D7 (3/27/16)
5808 S 196TH ST
600 S 56TH PL
KENT WA 98032
RIDGEFIELD WA 98642
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Temp. Service: 0 - 60 amps (All)... 1
PERMIT EXPIRES Wednesday, November 4, 2015
Permit Issued on Friday, May 8, 2015
I hereby certify that the above information is correct and that the construction on the above described properly 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:
Crrr of
Federal Way
CffltS CARD IS TO REMAIN ON-SITE r
onstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102198 -00 -EL Address: 34505 9TH AVE S
Project: WSC MEDPAV LLC FEDERAL WAY, WA 98003-6761
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.
❑
UFER Ground (4 95)Ditch
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (42-55)
Service (4235)
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Rough Electrical
Approved
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
By
Date
Approved
By
Date
Approved
By Date
Date
By
Date
By
Date
11 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 R-25 _1
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way --�
Approved
By
Date
By
Date
By
Date