21-100779 F �
T �
Electrical
CityofFederalWay Permit #:21-100779-00-EL
Communiry Development Dept.
33325 Sth Ave S � '
Federal Way,WA 98003 � Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 �
Project Name: KAISER PERMANENTE OF WA
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: �nstall a new 60 amp,480v circuit out to parking lot to feed a mammography van,install 2nd
conduit for low vottage to same location.Job#1007931
Owner Applicant Contractor
KAISER PERMANENTE OF WA JEREMY STEEBPRIME ELECTRIC INC PRIME ELECTRIC INC
1300 SW 27TH ST 3460 161ST AVE SE PRIMEE1134BT(1/30/23)
RENTON WA 98057 BELLEVUE WA 98008
USA 3460 161ST AVE SE
BELLEVUE WA 98008
Additional Permit Information
Is this an Online or O.T.C.application?..................Yes
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Alt. Srvc/Feeder 0 to 200 am� 1
PERMIT EXPIRES Saturday,26 February,2022
Permit Issued on Frida.y,February 26,2021
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: � �I I I �I � Date:
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THIS CARD IS TO REMAIN ON-SITE
�m� Construction Ins�ection Record
Federal Way INSPECTION REQUE TS:(253)835-3050
PERMIT#: 21 100779 00 Address: 301 S 320TH ST
Project: KAISER PERMANENTE OF WA FEDERAL WAY WA 98003-5200
Scheduled inspections may be failed if this cazd 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) �❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
4❑ Pool Bonding(4195) � Temporary Power(4275) � Service(4235)
Approved Approved Approved
By Date By Date By Date
� Feeders/Sub-panels(4045) �❑ Rough Electrical(4225) Q Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
�� Final-Electrical(4055)
By � Approved
Date�•�� �'
� Rough Electrical � Final Electrical � Right of Way
Approved Approved Approved
By Date By Date By Date