12-105096r ,
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
FILE Permit #: 12 -105096 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: GROUP HEALTH CLINIC
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: JOB #3793 - INSTALL 20kVA UPS, (4)10, SECTIONS OF STARLIKE, (4) LIGHT
FIXTURES, (1) OUTLET, (1) 60A 120/208V PANEL, LOW VOLTAGE CONDUIT
Owner
GROUP HEALTH COOP
Anniicant
DREW MACKEY
Contractor
EVERGREEN POWER SYSTEMS
12501 E MARGINAL WAY S
EVERGREEN POWER SYSTEMS, INC
EVERG S950BE (1/5/13)
TUKWILA WA 98168
3623 E MARGINAL WAY S
3623 GINAL WAY S
SEATTLE WA 98134
TTLE WA 98134
Is Use Educational or Institutional?.......................No
Alt. Srvc / Feeder 0 to 200 amps (C 2 Low Voltage - Other (C
PERMIT EXPIRES VSaturdaPermit Issued on TI hereby certify that the above information is correcthe occupancy and the use will be in accoraallitt8
Owner or agent
Amps? .............................No
I,I
2
bn on the above described property and
regulations of the State of Washington
Date:
THIS CARD IS TO REMAIN ON-SITE
GTY OF h�,
Federal Way Construction Inspection Record
Y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -105096 -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
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
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
By
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
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