16-100064'-- ;k
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SEA -MAR CLINIC
Project Address: 31405 18TH AVE S
FILE
Electcail
Permit #: 16 -100064=00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9233
Project Description: Remodel of electrical utilizing existing 1200A service. Includes all UG conduits, cables,
. . branch circuit lighting, and (4) panel boards for new service.
Owner
Aq licant
Contractor
SEA -MAR COMM HEALTH CENTER
NICHOLAS dONSON
E C COMPANY
1040 S HENDERSON ST
E C COMPANY
ECCOM** 148BA (6/30/16)
SEATTLE WA 98 W8
6412 S 196 ST
PO BOX 10286
KENT WA 98032
PORTLAND OR 97296
Additional Permit Information
Electrical Work Valuation?....................................560000 Is this an Online or O.T.C. application? ................. No
Is Use Educational or Institutional?.......................Yes Service greater than 999 Amps? ............................. Yes
Electrical Fixtures
Circuits - Commercial .................... 120
PERMIT EXPIRES Wednesday, March 8, 2017
Permit Issued on Tuesday, March 8, 2016
I 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 layys, rules and regulations of the State of Washington
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Owner or agent��01Date: 3/107 O�jp
4THIS CARD IS TO REMAIN ON-SITE,
CITY OF V&
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMITi #: 16 -100064 -00 -EL Address: 31405 18TH AVE S
Project: SEA -MAR COMM HEALTH CENTEF FEDERAL WAY, WA 98003-5404
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.
0
UFER Ground (4295)11
Ditch cover (4030)
Final Electrical
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
❑
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
BnE2
Date S _ �U`( (o
By
Date
B
S Date 10—
0—Final
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
M
Right of Way
Approved
By
Date
By
Date
By
Date
bATE
O,
AREA AND T'VPE OF INSPECTION
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Federal Way
RECEIVED ELEC'T'RICAL
JAN 06 2016 PERMIT APPLICATION
CITY OF FEERAL WAY
Pmtma NUMBER I � - I D D b C 4_ E
SITE ADDRE SS: � ,� A.
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ATE/UNIT/SPACE i
PROJECT VALUATION
$.2204000
ASSESSORS TAX/PARCEL i
33
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
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ELECTRICAL
CONTRACTOR
NAME
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NAILING ADDRESS
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WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
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PROJECT CONTACT
NAME yin b� I,
( ��) PRIMARY PHONE
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 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 apart of this application.
SIGNATURE:
PRINT NAME: _ I \I 1 L -V) o
Bulletin #160—January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application