21-100792City of Federal Way
Community Development Dept.
33323 8th Ave S
FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835.2609
Project Name: MEDICAL PAVILLION AT ST FRANCIS Unit 220
Project Address: 34503 9TH AVE S
Electrical
Permit #:21400792-00-EL -
Inspection Request Line: (253) 835-3050
Project Description: Install new outlets and lighting for tenant improvement
Parcel Number: 750451 0050
Owner
Applicant
Contractor
WSC MEDPAV LLC
ISAAC CONRADNORTH SHORE
NORTH SHORE ELECTRIC INC
1700 7TH AVE SUITE 1800
ELECTRIC INC
NORTHSE983PH (10/13/22
SEATTLE, WA 98101
14590 CAVALLIRD SE
14590 CAVALLI RD SE
OLALLA WA 98359
OLALLA WA 98359
Additional Permit Information
Is this an Online or O.T.C. application? ................ Yus
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 aml 1 Low Voltage - Fire Alarm (Co 30
PERMIT EXPIRES Tuesday, I March, 2022
Permit Issued on Monday, March 1, 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: Date:
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100792 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 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.
0 UFER Ground (4295)
0
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
0 Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover (4020)
Approved
By Date By ex
Approved Approved
Date �vN�C/ � ByIlle Date
tO Final - Electrical (4055)
By 'aApproved
Date r�J _
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
Ear•
Date
By
Date
By
Date