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15-1045880 electrical Permit #: 15- 104588 -00 -EL Project Name: MIRROR LAKE ELEMENTARY SCHOOL SOUTH 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 Apglican City of Federal Way Community & Econ. Dev. Services FEDERAL WAY PUBLIC SCHOOLS 33325 8th Ave S FILE Federal Way, WA 98003 FEDERAL WAY PUBLIC SCHOOL Ph: (253) 835 -2607 Fax: (253) 835 -2609 FEDERAL WAY WA 98003 -5433 0 electrical Permit #: 15- 104588 -00 -EL Project Name: MIRROR LAKE ELEMENTARY SCHOOL SOUTH 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 Apglican 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 l 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). EF 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 use 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: Lm- to — Z© <- !` 0" OF Federal Way PERMIT #: Project: THIS CARD IS TO ON -SITE Construction In ection Record s INSPECTION REQU TS: (253) 835 -3050 15- 104588 -00 -EL Address: 625 S 314TH ST 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 itis 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 Ceiling Cover (4020) Final Electrical By Date By V-A* Date 41-t 1 i v By Date Pool Bonding (4195) Approved By Date 0 Temporary Power (4275) Approved By Date Service (4235) Approved By WQi Date q 11� 1b Final - Electrical (4055) Approved Date Feeders /Sub - panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Final Electrical Approved Approved Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date PERMIT NUMBER _ ELECTRICAL PEP I'�jE6PPLI CAT ION �)C) SEP 10 2015 ,-rry nc cFnFRAL WAY CDS SUITE /UNIT /SPACE # SITE ADDRESS: S c5 3 W IE5� f�r- ecp I U,10 Lf PROJECT VALUATION �,anC--�) ASSESSOR'S TAX /PARCEL # Q 8 2 t b O 3 ' CURRENT /PROPOSED USE PROJECT NAME ^� �-/J (Tenant or Homeowner Last Name) Mirror Lake Portable S o � r � 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. nrg 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 ( ) - 5935 MAILING ADDRESS E-MAIL 1211 s- 332 st anelson fw s.or CITY STATE ZIP FAX Federal Way WA 98003 ( ) -5959 PROJECT CONTACT NAME Jason Nelson PRIMARY PHONE ( 253) q4ji - 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 owner's 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 supplie t he city as apart of this application. TE ! 10 O , PRINT NAME: Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application