14-102735 Electrical
City y&Federalway ermit 14-102735-00-EL
Community&Econ.Dev.Services #:
3325 8th Ave(29:83°)735
S
Federal Way,WA 98003F L.,
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: EDUCATIONAL SERVICE CENTER-FEDWAY SCHOOL DISTRICT#210
Project Address: 33330 8TH AVE S Parcel Number: 926500 0120
Project Description: Extending one existings 20 amp lighting circuit and installing two wall mount 60 watt LED
fixtures on the south side of building for parking lot lighting.
`
Owner Applicant Contractor
FEDERAL WAY SCHOOL DIST 210 JASON NELSON OWNER IS CONTRACTOR
31405 18TH AVE S FEDERAL WAY PUBLIC SCHOOL
FEDERAL WAY WA 1211 S 332 ST
98003 FEDERAL WAY WA 98003
Additional Permit information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional Yes
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 1
PERMIT EXPIRES Monday, December 8, 2014
Permit Issued on Wednesday, June 11, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. r r
Owner or agen Date: h " (t— ��.v l
LED
THIS CARD IS TO MAIN ON-SITE
CITY • - -,
• Construction In ection Record
Fe • eral WayINSPECTION REQ TS:(253)835-3050
PERMIT#: 14-102735-00-EL Address: 33330 8TH AVE S
Project: FEDERAL WAY SCHOOL DIST 210 FEDERAL WAY, WA 98003-6392
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.
O UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By VV. Date 12_14 I I[I..
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
+ I • •
41
CITY OF ELECTRICAL
Federal Way PERMIT Al I ATION
-1 _
PERMIT NUMBER 1 l 0 z '3 5 00 JUN 11 2014
CITY OF FEDERAL WAY
:7 1 UNIT/SPACE#
SITE ADDRESS: 33330 8 ave s Federal Way WA, 98003
PROJECT VALUATION] ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
1800.00 9 Z 6 S fl 0 _ c t 2 a Admin.
PROJECT NAME Parking Lot Lighting
(Tenant or Homeowner Last Name)
Extending one existing 20 amp lighting circuit and installing two wall
PROJECT DESCRIPTION mount 60 watt LED fixtures on south side of building.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Federal Way Public School (253 ) 945 - 5935
MAILING ADDRESS E-MAIL
33330 8 ave s janelson@fwps.org
CITY STATE ZIP FAX
Federal Way WA 98003 (253 ) 945 - 5959
NAME PRIMARY PHONE
Federal Way Public School (253) 945 - 5935
MAILING ADDRESS E-MAIL
ELECTRICAL 1211 s. 332 st. janelson@fwps.org
CONTRACTOR CITY STATE ZIP FAX
Federal Way WA 98003 (253 ) 945 - 5959
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT Jason Nelson (253 )945 - 5935
MAILING ADDRESS E-MAIL
1211 s. 332 st. janelson@fwps.org
CITY STATE ZIP FAX
Federal Way WA 98003 ( 253) 945 - 5959
PROJECT CONTACT NAME PRIMARY PHONE
Jason Nelson (253) 945 - 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 .'\11
im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t. e city as a part of this application.
_
SIGNATURE: DATE
PRINT NAME: Jaso,Nelson
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application