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14-105761
I • Electrical City of FederalWay Permit #: 14-105761-00-EL Community&Econ. Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p G Project Name: FEDERAL WAY HIGH SCHOOL-TEMPORARY PORTABLE P-17 Project Address: 30611 16TH AVE S Parcel Number: 082104 9001 Project Description: Installation of intercom and wireless clock system. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS ELECTROCOM ELECTROCOM 33330 8TH AVE S 6815 216TH ST SW ELECT**137DP(3/17/15) FEDERAL WAY WA 98003 LYNNWOOD WA 98036 6815 216TH ST SW LYNNWOOD WA 98036 • Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps9 No Electrical Fixtures Low Voltage-Other(Commercial I PERMIT EXPIRES Monday, May 4, 2015 Permit Issued on Wednesday, November 5, 2014 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 the City of Federal Way. Owner or agent: FILE Date: THIS CARD IS TO MAIN ON-SITE CITY OF 0 Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-105761-00-EL Address: 30611 16TH AVE S Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-4903 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) ❑ 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 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 0 r4 Date y 2 _v-i,1 El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date R2CENED • • NOV 0 3 2014 ELECTRICAL CITY OF Federal Way CITY OF FCEDDPE%RMIT APPLICATION PERMIT NUMBER J I1 _ / 0 5 7 (fJ 1 _ C Lr SITE ADDRESS: 3 SUITE/UNIT/SPACE# c 2 (1 I — Ake $ems-(,� PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE as, 7 ct. O J ° (r‘- '' O o L PROJECT NAME (Tenant or Homeowner Last Name) Fed 4'1-'9 / L� [I w)ay Ali(�' t Jr LRD I © _ Tn5,4/1 Q--lo-k ems? /✓ITrvCOs.� GH(J Cv/✓<�sfc PROJECT DESCRIPTION Jy S �.P-% �` i'� p" — 1 Ips Detailed description of work to be included on this permit only NAME ff n cP�RIMARY PHONE PROPERTY OWNER �td�2vq I (AI- Scary J /j�'1-1C f (253) /q✓ ,2c=k9c7 - MAILING ADDRESS pd �+ Hr E-MAIL 3333O /TVe ,Jor> , CITY ,pe..erf La QV STATE ZIP FAX tt>� qi5e2C23 ( ) - NAME/ PRIMARY PHONE E. �cr�cv• 'l 6(,J)77L f- MAILING ADDRESS E-MAIL fCONTELECTRICAL 6o/5-- 216 . 51- CONTRACTOR RACTOR CITY/ STATE ZIP FAX y1/ wdo04 vez. P 4,3 ( ) - WA STATE CONTRACTOR'S LICENSE 9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I 1-E C-T '71t 13 7.DP 3 17 (5— a©-- t /03278--c)— NA ME PRIMARY PHONE APPLICANT ` re 1,--C7Co1"n (LOST 77 MAILING ADDRESS E-MAIL C9' aIC-frk 5sf_ - CITY STATE ZIP FAX )s>7 huiom.d caet (18036 ( ) - NAME PRIMARY PHONE PROJECT CONTACTF Ila 4-5 �3-- 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 the city as a part of this application. SIGNATURE: DATE 16,131//y PRINT NAME: CD(I✓t a ,d�,.,.1 Bulletin#160—January 1,2013 Page 1 of 2 k:\HandoutsElectrical Permit Application