14-103347 I Electrical
City of FeWay Permit #: 14-103347-00-EL
Community&Econ.n.D
Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: FEDERAL WAY HIGH SCHOOL-TEMPORARY PORTABLE P-1
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Electrical connection for temporary portable classroom.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS INGRID KRUEGER FULLER ELECTRIC(ELECTRICAL)
33330 8TH AVE S SRG PARTNERSHIP,INC. FULLEEI027BK(1/12/16)
FEDERAL WAY WA 98003 110 UNION ST 37107 12TH AVE S SUITE A-5
SEATTLE WA 98101 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application No Is Use Educational or Institutional? Yes
Service greater than 999 Amps? Yes
Electrical Fixtures
Add'l New Feeder(s)401-600 amp 1
PERMIT EXPIRES Wednesday, April 15, 2015
Permit Issued on Friday, October 17, 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: Date:
F I E
f is " '/ ca-7(7'de,-- ocWARAc do sJ.
FIN
• THIS CARD IS TO ON-SITE
CIFederal WayOF Construction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103347-00-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) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date ,Bye Date i
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved ApprovedApproved
By Date By Date By Datet r i .
o._‘......._
0 Final-Electrical(4055)
Approved
By l/ts3 Date 12.'4 1 f t
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. ..** ' (U) I V PERM!! APPLICATION O
Federal Way t - ' ba/ 46// .61d
��k P 5 �' (A) o f vt c[cc 'I4 103b4 > I `[ -1 0 33 3 .e)
PERIIQT NUMBER
'" TARGET DATE
SITE ADDRESS SUITE/TWIT I
?ett 11 > 1(46
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL A i 0 I
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (401:494%.,4QPM c7 L' '. •' yer:r t
PROJECT DESCRIPTION ��i s(� tom•
Detailed description of work to ftl`aJ< + E► ® - �r Ir /7 '}' ! , •
be included on this permit only #
G 9 Sc'r ad#T•t. t 6 6 aY-G1.,f7)i
PROPERTY OWNER itirftrAftL, 144 faitelito C .r!" PRIMARY won--
/c3' 1-4-
AO Y` STATE ZIP r 0, (
NA118 PHONE
Km=ADDRESS_ GYAIL
CONTRACTOR
CITY STATS ZIP FAX
WA STATE CONTRACTOR'S LICENSE 1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE*
NwvaL w.lAtiatit L i/C. PRIMARY PRONE
APPLICANT /_ 4 V— k
CITY STATE ZIP FAX
i1
PROJECT CONTACTlitkietp t + P 1 'Lts9 2
t�
Alto individual to receive and '.10°tv�"Mae WAWA ' 1111?) kk u yrfs xiiiNe `46�?' '
respond to an correspondence 'rk t 1
concerning this application) Siosc 'AP/Jgio FAX
PROJECT
(.../J
PROJECT FINANCING NAME s OWNER-FINANCED
Required value of$5,000 or more Kimura ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certifs ander penalty of penury that 1 ars the property owner or authorised agent of the property owner.I certify that to the beat
of my Imootolgs,;hs Wiwnsattion std in support of this permit epplioatton is true And correct.l osrit&that wilt comply with
all applicable Cils of f dsnal Way regulations pertaining to the Work authcrlud by the issuance of a permit./understand that the
issueaes of this permit door not remote the owner's reisonsthints Jbrco pliance with local, state, er Agana lane regulating
construction or snsironmental laws
Ifarthor parse to hold.hsnntea:the City of Psderal Way as to aryl claim finchidingcoats,Wik and attorneys'fres inured in
the imeeeelgades aped 00000 of such o6lsgl,which may be mads by am person,including the undersigned,and fired against the city,
bat only whams such claim arises out of the reliance of the city, including its opium and employees, upon the accuracy of the
(rjbnnation supplied to the city as apart of this application.
SIGNATOM (�' DAYS 61 lrl
012(47, alQPRINT NAME: (y. Vf 'c[ !►G�+,J_
Bulletin#100–January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
f� •
IA) OP 41 ` V OF MECHANICAL WORK .
MECHANICAL PERMIT G u
Indicate how many of each type of facture to be installed or relocated as part of this • ' ct. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS PIPE OUTLETS r y; OTHER(Describe) ,
AIR CONDITIONER FIREPLACE INSE-T HOODS(commercial) N - tuAr9
BOILERS FURNACES HOT WATER TANKS(Goo)
COMPRESSORS GAS LOG S S REFRIGERATION SYST
DUCTING GAS PIPING , WOODSTOVES
itt, f [ C���C I eV'���'" ���ll'CA) ' VALUE OF PLUMBING WORK
PLUMBING PERMIT , N11-1 $
Indicate how man o eac,j,•e o fixtnye to be installed or relocated as part of this project. Do not include existin res to remain.
BATHTUBS(or Tub : ower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASH ' I RAINWATER SYSTEMS II,' URINALS OTHER(Describe)
DRAIN SHOWERS VACUUM BREAKERS
I- KING FOUNTAINS al: SINKS(Kitchen/utility( 1p WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYORgVALUE OF EXISTING IMPROVEMENTS
lA � J MV
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PR POSED FIRE SUPPRESSION SYSTEM?
1r) . L '(pi Zi,� Yes ❑ No ID Yes No
" f
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�"-� �%" � E 2I':'.. �r� ' �� ',xi"km+ �� Xyr3rTz �i,i
: - � � .
` x -',.;".7.;,4`4x' "„ ,-, i „,,14, it--, . -am `is . *1 . 1a* ......__.._._...._._......_..........-......—....-..—.........._......_._......_._......._.._..............__.........._......_..........._........._._...._......._...__..._.._.......___........___...._.._..-......._..............................._...
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT D
, l'', `ie-�°ff�' . � 4.�sa a' ,,,Pa. : _. :0nom^ ,
* � a,....__.._............._....._......._.................._......_.._..__......__._..............._..........—...._....__..........._.......
EXISTING PROPOSED TOTAL
Area Totals
i` '.Tifers''Fit„. m*�'R�N v+;s•
,._ ,7..i'-`..",:;-;•' .t¢ ,.e ..ai , .w. :'.';e `su: ";i[a..:.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
#of Additional Information
AREA DESCRIPTION Area Occupancy Group(s) Iliailia Stories
y
in S uare Feet
4,
tab: s - . � ���s•i.-L wV3 � gy=m ems<, .»v
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTIONPPM' Occupancy Group(s) IllaRia #of Additional Information
Stories
.,.*...-.sfi l., -;- _i .,F 7,:. i *;x' xis. s°3"'-v,,.,..VsY�'. r. .:44k.`4t'iloz,.?Nt.''.,�. �-w,'x�,.., � ,.- �ssw., .. `.'
wr rix
s
TENANT AREA ONLY
�" : t t"a mob. a �, ,u`� -' ''� ' MW: . �' ,y' -'
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Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application