21-100829City or Federal Way
Community Development DepL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FI-LF '
Project Name: MEDICAL PAVILLION AT ST FRANCIS Unit 220
Project Address: 34503 9TH AVE S
Project Description: (6) thermostats for tenant improvement
Electrical
Permit #:21-100829-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0050
Owner
Applicant
Contractor
WSC MEDPAV LLC
BRETT ROEBUCKAIR SYSTEMS
AIR SYSTEMS ENGINEERING INC
1700 7TH AVE SUITE 1800
ENGINEERING INC
(ELECTRICAL)
SEATTLE, WA 98101
3602 S PINE ST
AIRSYEI009KS (5/18/22)
TACOMA WA 98409
3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Thermostat
Electrical Fixtures
PERMIT EXPIRES Thursday, 3 March, 2022
Permit Issued on Wednesday, March 3, 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: nK11 I KI - Date.
t Y
f VI Pv)
THIS CARD IS TO REMAIN ON -SITE
CITY OF �- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 100829 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.
UFER Ground (4295)
0
Ditch cover (4030)❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
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)
By &Approved
Date q—�,- A
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
lay
Date
By
Date