19-103935City of Federal way
Community Development Dept.
SaAve S � '
Federal l W Way,y, WA 98003 �
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BROOKDALE SENIOR LIVING
Project Address: 31002 14TH AVE S
Project Description: (2) 30 amp circuits for temp coolers
Electrical
Permit #:19-103935-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9088
Owner
Applicant
Contractor
EMERITOL EVERGREEN LODGE L
ISAAC CONRADNORTH SHORE
NORTH SHORE ELECTRIC INC
3131 ELLIOTT AVE
ELECTRIC INC
NORTHSE983PH (10/13/20)
SEATTLE WA 98121
14590 CAVALLI RD SE
] 4590 CAVALLI RD SE
OLALLA WA 98359
OLALLA WA 98359
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
tab
Electrical ARi1M/g
Circuits -Commercial 2
�20PERMIT EXP1R Friclny, �ust,2U
'ermit l sued on Thursday, A i5, 2019
I hereby certify that the above inf ati s correct andlatthe construction on the above described property
and the occupancy an4ft use will be in accordance with the laws, rules and regulations of the State of
s toy he City of Federal Way.
Owner or agent: Date:
_N�
CITY Pi
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 103935 00 Address: 31002 14TH AVE S
Project: EMERITOL EVERGREEN LODGE L FEDERAL WAY WA 98003-4712
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) Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
Approved
Approved
By
Date
By
Date
❑
Pool Bonding (4195)
0
Temporary Power (4275)
Approved
Approved
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Q
Rough Electrical (4225)
Approved
Approved
By
Date-
By
Date
El
Final - Electrical (4055)
Approved
By
Dat
Approved to place concrete
By
Date
®
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approv d
Approved
By
Date
Date
Ill
Date