20-100767 •
Electrical
City of Federal Way Permit #:20-100767-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
Project Name: ST FRANCIS MEDICAL OFFICE BUILDING
Project Address: 34509 9TH AVE S Parcel Number:750451 0010
Project Description: PROVIDE 110 VOLT POWER TO FIRE ALARM PANEL
•
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM W JERRY ASBJORNSENMADSEN ELECTRIC MADSEN ELECTRIC
1717 S J ST 3939 S ORCHARD ST MADSEE*140P8(4/30/20)
TACOMA WA TACOMA WA 98409
98405 3939 S ORCHARD ST
TACOMA WA 98466
Additional Permit Information
Is this an Online or O.T.C.application? Yes
640$ *Aka' WitNtr;
Circuits-Commercial 1
PERMIT EXPIRES Tuesday,23 February,2021
Permit Issued on Monday,February 24,2020
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
Washington and the City of Federal Way.
Owner or agent: E Date:
r, vv/
i
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 20 100767 00 Address: 34509 9TH AVE S
Project: FRANCISCAN HEALTH SYSTEM W FEDERAL WAY WA 98003-6700
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) 0 Ditch cover(4030) , El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date (By Date
® Pool Bonding(4195) I El Temporary Power(4275) Q Service(4235)
Approved I Approved Approved
By Date ,I By Date By Date
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0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) , El Ceiling Cover(4020)
Approved Approved Approved
By Date ; By Date By Date
•
1t) Final-Electrical(4055)
' Approved
`
By `/� Date��(/Q�
0 Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date -,