10-103722City of Federal Way '
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
0 . Electrical
Permit #: 10 -103722 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ILLAHEE MIDDLE SCHOOL
Project Address: 36001 IST AVE S
Project Description: Installation of Low Voltage Energy Management Systems
Parcel Number: 302104 9013
Owner
Annlicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
CHARLOTTE METCALF
METCO INC
31405 18TH AVE S
METCO INC
METCOI*005BU (1/31/12)
FEDERAL WAY, WA 98003-5433
21804 MOUNTAIN HWY E PMB 32
21804 MOUNTAIN HWY E PMB 32
SPANAWAY WA 98387
SPANAWAY WA 98387
Is Use Educational or Institutional?.......................Yes
Low Voltage - Other (Commercial; 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, August 31, 2011
Permit Issued on Tuesday, August 31, 2010
1 hereby certify that the above information is correct and that the construction on the above described pr
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Wa
and the City of Federal Way.'
Owner or agent: 0 lot Lot W C Date:
FINALED 1o/12/I°
THIS CARD IS TOAIN ONSITE t
Construction In coon record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10 -103722 -00 -EL Address: 36001 1 ST AVE S '
Owner: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-8606
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 leis 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.
Final- Electrical (4055)
Approved
By Date p .! yi w
F10 *E
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final- Electrical (4055)
Approved
By Date p .! yi w
F10 *E
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final- Electrical (4055)
Approved
By Date p .! yi w
F10 *E
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Ways
By
Date
By
Date
By
Date
Federal Way
CO.W11N/TY DEVELOPMENT SERVICES
25-835-2607- FAX 253-835-2609
0 PERMIT
APPLICATION
ICS lo��'7_7Z
WE—
C—EIVED EN FP
SEP 0 2 2,Oit
t
i
r__rr OF 1=1=r)F=PA1 WAV
SITE ADDRESS (3LO D I Pi
�J��� c5� � G
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(')'enant Name/Homeowner Last Name)
<�--- I M FSQ � 1
I y
PROJECT DESCRIPTION
e �'dve `- vt° )1 � �MG Lf
Detailed description of work to
be included on this permit only
`q `G*'
140!L
PROPERTY OWNER
NAS
Vi �51
PRIMARY P ONE
D4 --7-4q 6o)
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�T�_15vj 3Y� I1'•
E-MAIL
10 -5/M 301 J
iglevA W Av
OT A
ZIP X302
NAM OW t t--/•��
PHONE
MAILING ADDRESS�
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
w �'/D h P�•
APPLICANT.S
CITYC
!/h'V,
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n''
Z�
%J /
V l/
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAM
r%11�j�j �� l
M777�c.� , - 1 D
1/V
1 G' ZvZva
a7%
S11 f
iV
7
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FAX
ALTERNATE CONTACT; N
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5, 000 or more
(RCW 19.27095)
NAS'
OWNER -FINANCED
MAMING ADDRESS, CITY, STATE, ZIP
PHONE
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 old harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation n defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where ch claim a t of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup thec a art o
SationA
SIGNATURE:N(Luj �A 2 < `/
4 ` DATE /
` I
PRINT NAME: V l M
Bulletin #100 — April 14, 2010 Page I of 3 k:\Iandouts\Permit Application
60V
Cr."
0 •
VALUE of MECHANICAL WORK (a copy of bid or estimate must be provided)
Indicate how many of each type of fx ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerciap
BOILERS FURNACES HOT WATER TANKS (Gas) —
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAYS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
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SINKS (xitchen/otitiv)
WATER HEATERS (Efect>ie)
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SUMPS
WASHING MACHINES
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AREA DESCRIPTION
Area
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OFFICE USE
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TOTAL:::
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PROPOSED
Area Totals
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ESTIMATED SELLING PRICE $
# OF BEDROOMS
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Occupancy Groups) Construction
Additional Information
AREA DESCRIPTION
Area
is S uare FeetType
3t ries
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AREA DESCRIPTION
Area
Construction # of
Occupancy Group(s) Additional Information
in Square Feet
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Bulletin #100 - April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application