09-102437r
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City of Federal Way
Community DehelopmentServices
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Permit #: 09-102437-00-EL
P.Federal
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WaOy, WABox9718 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Inspection Request Line: (253) 835-3050
Project Name: WILDWOOD ELEMENTARY SCHOOL
Project Address: 2405 S 300TH ST
Parcel Number: 042104 9167
Project Description: Electrical connections for HVAC upgrade.
Owner
Applicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
MCKINSTRY ESSENTION INC
MCKINSTRY CO LLC (ELECTRICAL)
31405 18TH AVE S
PO BOX 24567
MCKINCL942DN (3/15/10)
FEDERAL WAY WA 98003-5433
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Is Use Educational or Institutional? ..................... No Service greater than 1000 Amps? ........................... No
Electrical Fixtures
Circuits - Commercial .................... 5 _
PERMIT EXPIRES Thursday, July 1, 2010
Permit Issued on Wednesday, July 1, 2009
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and ?e, will be in accordance with the laws, rules and regulations of the State of Washington
an e City of Federal Way. /
Owner or agent: Date: 7/�
CITY OF �s
Federal Way
PERMIT #:
Owner:
Construction h ,,)ection Record
INSPECTION REQUESTS: (253) 835-3050 `
09-102437-00-EL Address: 2405 S 300TH ST
FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-4225
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.
LIFER Ground (4295)
El
Ditcli cover (4030)
El
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 —cS Date v -01 _G
By
Date
Final - Electrical (4055)
Approved
Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
EL
RECEIVE® CONSTRUCTION PERMIT APPLICATION
C.rTY OF FAPPLICATION NUMBER: �` — - {►
Federal Way JUN 2 6 2009 APPLICATIQwMTMER1
PPLICA CN NUMBER:
CITY OF FEDERAL WAY
**The follovdeltis required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
�� /' PROPERTY•. •
" SITE ADDRESS: - /1 nI tT O� JY• ASSESSOR'S TAX/PARCEL #:0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BU ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECTNAME: �di.DUME)
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
NAME: �) a
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP)-,
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i
NAME:
a
DAYTIME PHONE:
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31I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP :
EVENING PHONE:
{
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
Q
CONTRACTOR'S REGISTRATION NUMBER:
nnnn i
y� } f
E7[PIRATION DATE:
l �7
/ r
(copy of card required) Y1
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Pi 0
f C)
NAME:
LL __
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
)
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(
DESCRIBE):
( ) -
E-MAIL ADDRESS:
-OR THIS PROJECT: ❑ PROPERTY OWNER
❑ APPLICANT
CONTRACTOR
PROJECT• •
EXISTING USE: Pv�ihG11 G 1-ei-Y7 ..5Ck 2?1 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
jp
PROPOSED USE: i L ' PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
4
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( ]
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( }
SUMP(S)
JISCLATMFR/ST(;NOTIIRF RI_C
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME TITLE: �' C (C-Gt- �— �/ ` ( DATE:
❑ PROPERTY OWNER ❑ APPLICANTf CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW in ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA
www. cityoffedera Way. corn
Construction Permit Fee Calculation
98063-9718 •253-661-4000 • FAX: 253-661-4129
Sheet