14-101102t ft Wlectrical
City ity & Econ.
al Delay Permit #: 14-1 011 02 -00 -EL
Community 8. Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: ST FRANCIS HOSPITAL PHARMACY
Project Address: 34515 9TH AVE S Parcel Number. 7504510020
Project Description: Low -voltage wiring for fire alarm system.
Owner
Applicant
Contractor
JOHN ELSWICK
SIMPLEX GRINNELL LP
THOMPSON ELECTRICAL
FRANCISCAN HEALTH SYSTEM -W
9520 10TH AVE S SUITE 100
CONSTRUCTORS INC
1717 S "J" ST
SEATTLE WA 98108
THOMPECO08CW (2/16/14)
TACOMA WA 98405
PO BOX 45260
TACOMA WA 98445
Additional Pe
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electri
Low Voltage - Fire Alarm (Comm( 1
PERMIT EXPIRES
Permit Issued
_gos
hereby certify that the above infor
the occupancy and the use will be
Owner or agent:
Iect and
nce with tl
nd the City
41,
Is
IV
ial or Institutional?.......................No
, Se F" 2014
aye 12, 2014
instruction on the above described property and
les and regulations of the State of Washington
Way.
Date: `1
.-'
ciry of ,
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -101102 -00 -EL Address: 34515 9TH AVE S
Project: JOHN ELSWICK 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 (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
(4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)Service
(4235)
Right of Way
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date --16— 4
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
0
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY CP 014 ELECTRICAL
CITY OF FEDERAL Federal Way MAR 12 RAL WAY PERMIT APPLICATION
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PERMITCDS
NUMBER - L U 0 42Z - _—L-
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PROJECT VALUATION
ASSESSOR'S TAR/PARCEL /
CURRENT/PROPOSED USE
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PROJECT NAME
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(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed descaiption of work to
be included on this permit only
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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 clainq, 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.
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Bulletin # 160 -January 1, 2013 Page I of 2 k:MandoutsTlectrical Permit Application