21-101507City Federal Way
y,
Community Development Dep4
FILE
33325 8[h Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S
Project Description: Nurse call replacement
Electrical
Permit #:21-101507-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0020
Owner
Applicant
Contractor
JOHN ELSWICKFRANCISCAN HEALTH
AARON BACHAUD
EPIC ELECTRIC INC
SYSTEM-W
PO N 357 AVE
EPICEI*033LF (6/6/21)
1717 S "J" ST
SNOHOMISH WA 98291
PO BOX 357
TACOMA WA 98405
SNOHOMISH WA 98291
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Electrical Fixtures
Low Voltage - Other (Commel 50
PERMIT EXPIRES Saturday, 16 April, 2022
Permit Issued on Friday, April 16, 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
Was fjNta n t e Cif f F' Way.
Owner or agent:. Date-
CITY 'OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101507 00
Address:
34515 9TH AVE S
Project: JOHN ELSWICK
FEDERAL WAY WA 98003-6761
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE TH IS 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)
Q Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
®
Pool Bonding (4195) ❑
Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By
Date By
Date
By Date
❑
Feeders/Sub-panels (4045) ®
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date By
Date
By Date
❑ Final - Electrical (4055)
Approved
Byzz
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date