15-1045890
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Electrical
Permit #: 15- 104689 -00 -EL
Project Name: MIRROR LAKE ELEMENTARY SCHOOL NORTH
Project Address: 625 S 314TH ST .
Inspection Request Line: (253) 835 -3050
Project Description: Electrical connection for temporary portable classroom.
Parcel Number: 082104 9035
Owner
li n
Contractor
FEDERAL WAY PUBLIC SCHOOLS
City of Federal Way
P K ELECTRIC
Community & Econ. Dev. Services
FILE
33325 8th Ave S
FEDERAL WAY WA 98003 -5433
Federal Way, WA 98003
7834 32ND ST SUITE 102
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FEDERAL WAY WA 98003
0
--
Electrical
Permit #: 15- 104689 -00 -EL
Project Name: MIRROR LAKE ELEMENTARY SCHOOL NORTH
Project Address: 625 S 314TH ST .
Inspection Request Line: (253) 835 -3050
Project Description: Electrical connection for temporary portable classroom.
Parcel Number: 082104 9035
Owner
li n
Contractor
FEDERAL WAY PUBLIC SCHOOLS
JASON NELSON
P K ELECTRIC
33330 8TH AVE S
FEDERAL WAY PUBLIC SCHOOL
PKELE * *972BT (2/3!17)
FEDERAL WAY WA 98003 -5433
1211 S 332 ST
7834 32ND ST SUITE 102
FEDERAL WAY WA 98003
MERCER ISLAND WA 98040
Additional Permit Information
Is this an Online or O.T.C. application ? .................No
Service greater than 999 Amps ? . ............................Yes
Electrical Fixtures
Add'1 New Feeder(s) 401 -600 amp 1
Is Use Educational or Institutional ? .......................Yes
CONDITIONS:
Installation of portable classrooms or other additions of impervious surfaces may trigger stormwater flow
control and/or water quality improvements. This condition applies after the second portable classroom is
placed (currently under review - Land Use permit 15- 103152 -UP). KP
Installation of portable classrooms or other additions of impervious surfaces may trigger stormwater flow
control and/or water quality improvements. This condition applies after the two portable classrooms are
placed (that are currently under review - Land Use permit 15- 102363 -UP). KP
PERMIT EXPIRES Monday, April 11, 2016
Permit Issued on Wednesday, October 14, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: I In — ILA — 7� f
ir
t
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO rTS:�((253) ON -BITE - " ~ '
Construction In Record
INSPECTION REQU 835 -3050
15- 104589 -00 -EL Address: 625 S 314TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003 -5214
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.
0
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Vj Date e4 7 1,
By
Date
0 Final - Electrical (4055)
Approved
B Date
'
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By IMg
Date 14 111.
Feeders /Sub - panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
B Date
'
Rough Electrical
Approved
❑
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
. 0 0
4%
CITY OF' ELECTRICAL
Federal Way PWM�Pf DAPPLICATION
PERMIT NUMBER ( 57 56 ` 00 5 E P 1 U 2015 G ",
rftw Olt FFDFRAI . WAY
CDs
SUITE /UNIT /SPACE #
SITE ADDRESS: � Z 'E�- 5 3 H -, , �� n
PROJECT VALUATION
(�
$1, -6 y v i..� V
ASSESSOR'S
ASSESSOR'S TAX
/� /PARCEL # //may /%� /q'�/ '/''�^"�
-0 8 4- I b l V 3 �G
CURRENT /PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Mirror Lake Portable RUM
Install one new double portable.—
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Federal Way Public Schools
( 253) 945 - 5935
MAILING ADDRESS
E -MAIL.
1211 s 332 st.
innnlsn
CITY
STATE
ZIP
AX
Federal Way
WA
98003
( 253) 945 - 5959
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
Jason Nelson
(2 53) - 5935
MAILING ADDRESS
E-MAIL
1211 s, 332 st
anelson fw s.or
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
( 4 -
PROJECT CONTACT
NAME
Jason Nelson
PRIMARY PHONE
( 253) 45 - 5935
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppliepfb. ;he city as apart of this application
PRINT NAME:
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Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application