21-100703Electrical
City of Federal Way .
Permit #:21-100703-00-EL
Community Development Dept.
333zsse,Ave s Inspection Request Line: (253) 835-305
FedCral Way, WA 98003
Ph: (253] $35-2607 Fax: (253) 835-2609
Project Name: ST FRANCIS MEDICAL PAVILION
Parcel Number: 750451 0050
Project Address: 34503 9TH AVE S
Project Description: Add (1) control relay to existing fire alarm system for door release. Location: Floor #2 roll
down window door controller.
Owner
WSC MEDPAV LLC
1700 7TH AVE SUITE 1800
SEATTLE, WA 98101
ApIllcant
CARISSA THOMSONPERFORMANCE
SYSTEMS INTEGRATION
19310 NORTH CREEK PKWY SUITE 109
BOTHELL WA 98011
Additional Permit Information
is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Low Voltage - Fire Alarm (Co
Contractor
PERFORMANCE SYSTEMS
INTEGRATION LLC
PERFOSI812NO (8/20/21)
240 S HOLDEN ST
SEATTLE WA 98108
PERMIT EXPIRES Wednesday, 23 February, 2022
Permit Issued on Tuesday, February 23, 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
iFederal Way.
O'Nttlir. Date:
Owner or agent:
r iV1-
A�'
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 21 100703 00 Address: 34503 9TH AVE S
Project: WSC MEDPAV LLC FEDERAL WAY WA 98003-6761
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE T111S CARI). 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 he 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.
0 UFER Ground (4295) Ditch cover (4030) 0 Slab/Concrete Floor (4255)
Approved
By Date
0 Pool Bonding (4195)
Approved
By Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
fi0
Final - Electrical (4055)
Approved
By
Date /
Approved
By
Date
❑
By
Temporary Power (4275)
Approved
Date
❑
By
Rough Electrical (4225)
Approved
Date
By
Approved to place concrete
Date
❑
By
Service (4235)
Approved
Date
❑
By
Ceiling Cover (4020)
Approved
Date
Final Electrical
Right of Way
❑ Rough Electrical
Approved
Approved
Approved
By Date
[IV Date
By
Date