17-104116 •
4
Electrical
City of Federal Way Permit #:17-104116-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HIGH POINT EARLY CHILDHOOD LEARNING CENTER
Project Address: 1066 S 320TH ST Parcel Number:082104 9188
Project Description: Install low voltage HVAC energy management control system
Owner Applicant Contractor t
FEDERAL WAY PUBLIC SCHOOLS EPIC ELECTRIC INC EPIC ELECTRIC INC
33330 8TH AVE S PO BOX 357 EPICEI*033LF(6/6/19)
FEDERAL WAY WA 98003 SNOHOMISH WA 98291 PO BOX 357
SNOHOMISH WA 98291
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Other(Commel 1
PERMIT EXPIRES Friday,24 August,2018
Permit Issued on Thursday,August 24,2017
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
Washin on a % the City of Federal Way.
Owner or agent: Date: 08/211/l 7
lEC
FNA
DATE INSPECTOR AREA AND TYPE OF INSPECTION
•
II n RwA iG t C li� ^ N,w414 O �y
Sok1-1A O t
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104116 00 Address: 1066 S 320TH ST Bldg E-100
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98003
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.
® UFER Ground(4295) c Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ��By Date �:�By ..\_t Date t O—t"...i-
0 Final-Electrical(4055)
Approved
By V#44 Date I n 2• l'I
D Rough Electrical Cl Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF . ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER t �-_ 0 4 1 ( _ Co
- - - - AUG 24 2017
a1 }iL#WAY
SITE ADDRESS: 0 LE, 3, 3247,7)-- ar gU t Lett s6 ECOMMUNITY DEVELOPMENT
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ,S-Do c e zM1 O 4 _ Com g Lu,
PROJECT NAE ` `
(Tenant or Homeowner Last Name) t3 Pro S Qt)FSE E Lc- — Fm EA' wAy 5-D,
t,ow Jot*6E NVAG. E424y M,, q N-t50 -
PROJECT DESCRIPTION co NTieq(- Sl�STF
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER EEDeRA't- w pry 9c..14001_ O t stat r ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
e.g7 t C E.LE G t ss C, ( )
MAILING ADDRESS E-MAIL
ELECTRICAL D. (3 3s7
CONTRACTOR CITY STATE ZIP FAX
5ao*o164t5t�l (AIA a291 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
er= c s 033
NAME PRIMARY PHONE
APPLICANT STEN/E 6 Po (tt 25")3/3- 9185-
MAILING ADDRESS E-MAIL
15520 SE Sb - tom
CITY STATE ZIP FAX
(3EtLsJ UE wA 9$00(.. ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT SqlseN E gRoL (34o)568.5185
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 supplied to th a part of this ap .
SIGNATURE: ` DATE o8124{ 17
PRINT NAME: S(`FSE 2ou3si , ?Pest
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application