10-103246 y
' E�ectr�cal
City of Federal Way Permit #: 10 103246 00-EL
' � Cernmunity Development Services � �
P.O.Box 9718
Federal Way,wA saos�-s�,s Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p p � �
Project Name: EVERGREEN LODGE
Project Address: 31002 14TH AVE S Parcel Number: 082104 9088
Project Description: EXTEND CIRCUIT
er ' an Contractor
HEALTH CARE REIT INC CRYSTAL MADDOX WPCS INTL INC SEA OP
PO BOX 1475 WPCS WPCSIII912M1(7/17/11)
TOLEDO OH 43603-1475 18538 142ND AVE NE 18538 142ND AVE NE
WOODINVILLE WA 98072 WOODINVILLE WA 98072
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Is Use Educational or Institutional?.......................No Service greater than 999 Amps?.............................No
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Circuits-Commercial.................... 2
PERMIT EXPIRES Friday, July 29, 2011
Permit Issued on Thursday, July 29, 2Q10
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
� an the City of Federal Way.
Owner or agent: � Date: C -
FINALED g � �°
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,� � '1'I�IS�ARD IS TO MAIN ON-SITE
����_ '� Construction I ction Record
Federal Way INSPECTION REQUE TS: (253) 83�3050 - ' �
PERMIT#: 10-103246-00-EL Address: 31002 14TH AVE S
Owner: HEALTH CARE REIT INC FEDERAL WAY, WA 98003-4712
Scheduled inspections may be failed if this card is not on-site. DQ 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) � 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
� Feeders/Sub-panels(4045) � Rough Electrical(4225) � Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
� Final-Electrical(4055)
Approved
By Date $ � (p• ld
� Rou�h Electrical � Final Electrical � Right of Way
Approved Approved Approved
By Date By Date By Date