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14-105755
Electrical City of Fe . Way Permit #: 14-105755-00-EL Community&Econ.D Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: FEDERAL WAY HIGH SCHOOL-TEMPORARY PORTABLE P-14 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 Amps? 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 Cieral Way. Owner or agent F I LtY Date: THIS CARD IS TO MAIN ON-SITE "TM�F`,010 • Construction In ection Record r Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 14-105755-00-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. ❑ UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • . • ❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date o Final-Electrical(4055) Approved By X4,4__ Date l 2x_i_ I L CI Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 6 11 • RECEIVED • 0 . . 1 CITY OF Nov 03 ELECTRICAL Federal Way ° PERMIT APPLICATION CITY OF FEDERAL WAY ELECTRICAL CDS PERMIT NUMBER /11 _ / D 5`7 51 _ L SUITE/UNIT/SPACE e SITE ADDRESS: 3 C6 11 I c Ave. -.51,c11- 1 I PROJECT(�V'�ALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE s--, 7 7.6 4 gTh 2_ _I _0_ (7‘- 5) ao I-- PROJECT NAME '• [ (Tenant or Homeowner Last Name) ed d'fr q ,I 'V /1 l i J[�Sl j Slew, 1 t / 'ns-1-.v/1 q1/o-. v /✓4-,..ca'.-, GH Cuirett,lfc �IOCL( PROJECT DESCRIPTION _Cy 5 e-r I H n e - /`'✓4719 1,0:j:0 Detailed description of work to be included on this permit only NAME , PHONE PROPERTY OWNER �f0•e-, f (L/-ry 5c t- ( 013-ref' (,25:3)7 7 q5 acAo MAILING ADDRESS E-MAIL 33336' S " Ave 504)"FiA CITY ,06,..9 I (!J efie STATE ZIP FAX ttJ& 4800.3 ( ) - NAME PRIMARY PHONE �I Pc ✓�co.�l ( 1?))77L1- 6,4 MAILING ADDRESS EMAIL ELECTRICAL 6 Bf J ' 216 S 1- 5 A CONTRACTORCITY STATE ZIP FAX L y.i�, eod QA 90036 ( ) - WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 5'LEcr-1 137.DP 3 / 17 / (.S— a©-e?--/o3a7E3- -Bz-- NAME PRIMARY PHONE r APPLICANT C I re' 4-vr'cow, (L14-37 771(-- oc' MAILING ADDRESS EMAIL 6-81s ai4f� 5sf- 574, CITY STATE ZIP FAX 4?h hu,„:,a.GI LIJe. q80% ( ) - NAME PRIMARY PHONE PROJECT CONTACTfl/o•h f 0IIe, s (1-1.251-506 /1.2 5 e- 75--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 arty 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: //_a / DATE /d/ -31/ PRINT NAME: CD(ice 6 red x'>.-, Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application