21-100750Electrical
City of Federal Way
Community Development Dept.
33325 8th Ave S
I"ccicral Way, WA g8003
FILL.-.
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MEDICAL PAVILLION AT ST FRANCIS Unit 220
Project Address: 34503 9TH AVE S
Project Description: Final low voltage terminations at fire alarm panels
Owner
WSC MEDPAV LLC
1700 7TH AVE SUITE 1800
SEATTLE, WA 98101
A. Pplicant
CARISSA THOMSONPERFORMANCE
SYSTEMS INTEGRATION
19310 NORTH CREEK PKWY SUITE 109
BOTHELL WA 98011
Additional Permit information
Is this all Online or U.T.C. application? .................. Yes
Low Voltage - Fire Alarm (Co
Electrical Fixtures
Permit #:21-100750-00-EL
Inspection Request Line: (253) 835-3050
PERMIT EXPIRES Friday, 25 February, 2022
Permit Issued on Thursday, February 25, 2021
Parcel Number: 750451 0050
Contractor
PERFORMANCE SYSTEMS
INTEGRATION LLC
PERFOSI812NO (8/20/21)
240 S HOLDEN ST
SEATTLE WA 98108
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: Cate:
_3
_14%,
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100750 00
Address:
34503 9TH AVE S Unit 220
Project: WSC MEDPAV LLC
FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -site.
DO NOT LOST: TIIIS CAIM. 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
❑ Pool Bonding (4195)
❑ Temporary Power (4275)
❑ Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By Date
-+n,
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
t] Final - Electrical (4055)
Approved
By
Date :�qol;
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
BY
Date