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13-100990
• • Electrical City of Federal Way Community&Econ.Dev.Services Permit #: 13-100990-00-EL 33325 8th Ave S Federal Way,WA 98003 ti Inspection Request Line: (253)8354050 Ph:(253)835-2607 Fax:(253)835-2609 p Q Project Name: SACAJAWEA MIDDLE SCHOOL Project Address: 1101 S DASH POINT RD Parcel Number: 052104 9024 Project Description: Installation of(6)new&one replacement 70-watt metal halide fixtures on building exterior. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS SID WHITE OWNER IS CONTRACTOR 31405 18TH AVE S FEDERAL WAY SCHOOL DISTRICT FEDERAL WAY WA 98003-5433 31405 18TH AVE S FEDERAL WAY WA Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 3 PERMIT EXPIRES Saturday, August 31, 2013 Permit Issued on Monday, March 4, 2013 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 Washington / and to- City ; ederal Way. Owner or agent _ i _■21P" 'THIS CARD IS TO MAIN ON-SITE CITY OF - Construction In ection Record Federal Way INSPECTION REQUE 'TS: (253)835-3050 PERMIT#: 13-100990-00-EL Address: 1101 S DASH POINT RD Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-3735 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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) Service(4235) Approved Approved Approved By Date By Date By Date • Feeders/Sub-panels(4045) .*LJ Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date o Final-Electrical(4055) • Approved By Q,v1J-5 Date g _16_I.-3 ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ,•ECEIVED EL C'TRICAL CITY OF Federal Way MAR 0 4 2013 PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER /3 _ / v V 7 / 0 - SUITE/UNIT/SPACE# SITE ADDRESS: ! t0 1 S - 2-6.s .,, rni &T RC-7 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# , CURRENT/PROPOSED USE $ ; Lam. 0 5 -- / C.) y - 0 o- y v©0 l 1 PROJECT NAME (Tenant or Homeowner Last Name) �.AG�i SA 1.-1.is A iy,t, ,LA L,,_-- ! ¢)n 1 -r 17,- ` l 61 147 _175::.i.)-11:6.\1 L. 1 l- ', 1 , `I© I.--‘4 1 p T T 1■!\�-- L 14 L-l C,&". PROJECT DESCRIPTION 1')("T,3 z c',i F-,Ni -1' c v i t 17 C' ©T=- '�C'D Et* 2 C)7 L A C Detailed description of work to & • --T 0 LS 1* -T'<t-} p';) X r :a 1 D Z L,1 Ej W be included on this permit only \---‘ ∎-t-vN N1 E-\,,--1 -1 o- 1.--1,6-7-1 iv( r d L }-((6 1.--c )>c1 NAME PRIMARY PHONE PROPERTY OWNER f6 Delg4t.1 V.3ij i)0 15, 9641. `►�\d-i`r ( _c51 C45- Secs° MAILING ADDRESS / E-MAIL CITY STATE ZIP FAX NAME - PRIMARY PHONE 11A - }-1 o V L-c:,-41/I C i.4-e--1 ( ) - MAHdNG ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY I STATE 1 ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANT - 1 t 0 1-c-E (74; ) 13 - 5(t3° MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT I > v I [ 14 4E- ( ) - 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 ma 'be made by any person,including the undersigned,and filed against the city, but only where such claim arises o t of the relian o the city, including its officers and employees, upon the accuracy of the :: dtot ; son.URE: v — DATE - Ll - .2.0 1-5 PRINT NAME: t»c.t is t/ )-1- `4-6- Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application