19-100371Electrical
City °fFederal
way Permit #:19 -100371 -00 -EL
Commmity Development Wept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fax (253) 8352609 FIL
Project Name: BROOKDALE FOUNDATION HOUSE
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: Addition of 23 receptacles for nurse call system
Owner
Applicant
Contractor
BROOKDALE SENIOR LIVING
COURTNEY BACKOUSUnity Electric LP
UNITY ELECTRIC CONST INC
6737 W WASHINGTON ST SUITE 2300
20306 15TH AVE NE SUITE A
UNITYEL919L9 (7/13/19)
MILWAUKEE WI 53214
SHORELINE WA 98155
20636 15TH AVE NE SUITE A
SHORELINE WA 98155
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Multi -family 1
PERMIT EXPIRES Thursday, 23 January, 2020
Permit Issued on Wednesday, January 23, 2019
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 laws, rules and regulations of the State of
®�•' gtol d of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
C"dw Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1910037100 Address: 322901ST AVE S
Project: BROOKDALE SENIOR LIVING FEDERAL WAY WA 98003
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.
El
LIFER Ground (4295)
ID
Ditcb cover (4030)
3❑
Slab/Concrete Floor (4255)
Service (4235)
Approved
113y
Approved
lBy
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
ift
Approved
1BY
Approved
By
Date
By
Date
Date
Date
Date
0
Feeders/Sub-pauck (4045)
Rough Electrical (4225)
Q
Ceiling Cover (4020)
0
Approved
rBy
Approved
Approved
Approved
By
Date
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date 11
Rough Electrical
❑
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date