23-104024City of Federal Way
I LCommunity
Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHERWOOD FOREST ELEMENTARY SCHOOL
Project Address: 34600 12TH AVE SW
Project Description: Retrofit Lighting Existing Count 24
Electrical
Permit #:23-104024-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 415920 0004
Owner
Applicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
KELLIE PETERSON
J H KELLY LLC
33330 8TH AVE S
821 N 3RD AVE
JHKELL*OI IKC (5/3/25
FEDERAL WAY WA 98003-5433
LONGVIEW WA 98632
821 3RD AVE
LONGVIEW WA 98632
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Commercial I
PERMIT EXPIRES Sunday, 4 February, 2024
Permit Issued on Tuesday, August 8, 2023
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
,hi n and the City of Federal Way -
Owner or agent: Date:
lrl-i4 a-)
4& CITY W 400
Federal Way
THIS CARD IS TO REAL-1\ ON -SITE
Construction Inspection Record
INSPECTION REQL-ESTS: (2-53) S35-3050
Scheduled inspections nn.'is be failed if this card is not on -site. DO NOT LOSE THIS CARD, Inspections are listed as close to sequential order c, possible
(read left to right. top to bottom)- Please schedule inspections as appropriate. Work must not be covered until it is approved. Check ttiith yoru 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.
ELECTRICAL
0
L-FER Ground (4295)
Q
Ditch corer (4030)
❑3
Slab/Concrete Floor (42^55)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
El
Temporary Power (4275)
Q
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
FeederslSub-panels (4045)
®
Rough Electrical (4225)❑
Ceiling Corer (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B-v
Date
MECHANICAL
Q
Mechanical Rough -in (4165)
Gas Piping (4125)
Q
-Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
0
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
B1-
Date