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12-104903 r ':, • ` ,Eletrical City of Federal Way .{� Community&Econ.Dev.Services Permit #: 12-104903-00-EL 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-ROTC CLASS Project Address: 30611 16TH AVE S Parcel Number: 082104 9001 Project Description: Adding/altering(7)circuits for associated interior remodel ` Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS SID WHITE OWNER IS CONTRACTOR 31405 18TH AVE S FEDERAL WAY SCHOOL DISTRICT FEDERAL WAY WA 98003 31405 18TH AVE S FEDERAL WAY WA Additional Permit information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 7 PERMIT EXPIRES Wednesday, April 24, 2013 Permit Issued on Friday, October 26, 2012 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: Gt Date: /0 ' Z 6 ' .Z0)2_, THIS CARD IS TO MAIN ON-SITE CITY OF • Construction In ection. Record - Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-104903-00-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. El LIFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date .El Pool Bonding(4195) 0 Temporary Power(4275) �0 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 Gs Date VZ-t.2_,l Z By Date 0 Final-Electrical(4055) Approved By Date 11 _ 1 — L3 ❑ Rough Electrical Final Electrical Cl Right of Way Approved Approved Approved By Date By Date By Date . ,, -A...,..,,, • • I . 104gO• CITY OF '- FeggevivklyELECTRICAL OCT 2 s 2012 PERMIT APPLICATION CITY OF FED ..•P`/ e Electrical permits may be obtained on-line at www.cityo ederalway.com** ,_; .� � �,T,,,� 47, , ate . �77,7; ' 'fir :-{ : �- rr»f t.:0;4. d L'D'&3' -^' -s.,.-.' : :� r�,,�„ ,'?b,f dI.ilH y. �.;r0 ,,,. d$, .Yxy SITE ADDRESS: E DE ' M- \"-t kY t-k 16 I--E- fit-#cs?e . 1 SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCELCURRENT/PROPOSED# ° a (/"�� USE ` E,r"Iz.i:' '' x f tea, '�✓% vF�+> .. .%� :.x :-, �' ::��/ r' ;-„ra��6�r;%ii✓� ��,xr �Y.' e 8S'‘,,,,f, ,• i it✓t .,$ Er.✓�.�-;z,;.�'.c�,', J�5 ,, , z.. .. , e 1 4 .4 ,,4., d s , ,,.4.a.,4,;vd., ,,; 4.•._ „, ,F ,u4. , ✓,'e-.%,�"�_i �'�/ �� ✓1�i� :z, .,<f� ;� v°`< ,L: tio,» �` ,, :"��'� .» ,'�✓! r1't' PROJECT NAME (Tenant or Homeowner Last Name) F E 0 S"--R„.d L. \AeL A y N IG1.N.,•r,/.i _om t Ce3 VEfc,T',► t) v40[my 5H'QR. 3 Ein-r c "7 r, ..l NI t ll .►&-I PROJECT DESCRIPTION T.AI .1,C - f 71sT LET 5 EA L. 16 I-fT 5 t. t-rc.4 t 1`5 I _, E Detailed description of work to be included on this permit only _ 1."16.11 t.Lce 4tTeR,6 6 A-6 t? '-T E Pc La r-Frs.c. LYtfl‘. NIT” Eaove-cv tiJ'r LtEzt-ft'47 s - a ,.c /;.;.�i� -;�r, NAME PRIMARY PHONE PROPERTY OWNER F'€t7ed 1b tS r"7cy wk tc__ 5 Cital t7t '"t- (253 kV-15 -5C/ o MAILING ADDRESS E-MAIL 1Z.1t 5, 3'T Z $` _ CITY STATE ZIP FAX het,. 1,...\a<k v.4.01, 1 o©3 (1-$5 )'IiS - 5c ct NAME PRIMARY PHONE f- 76vk\ \-x-14.1 sci-4 t7 CT- f.._ '3) c-f41.5 5°te!) MAILING ADDRESS E-MAIL ELECTRICAL 11.-4-1e ,a,.gy ...(0.,:=,c•rM CONTRACTOR CITY STATE ZIP FAX I t I c \ \ ( ) _ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANT t'> in-( H ,t"'C' (z 5 3) L-15- 5 g 35 MAILING ADDRESS E-MAIL 1 2-t t S '3 -57- ..51' CITY STATE ZIP FAX i' b, L44,1/4,1 t,r-Ft ct (1-5;) - Ser 5 NAME PRIMARY PHONE PROJECT CONTACT t17 t e<Z Z-t I` O (Z53)440‘ 5 04. 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 cias a part of this a..lication. SIGNATURE: -J7--:----/ DATE /0 , /r - / L. PRINT NAME: /CAI 6.y t.C/14 I T-4.5 - 33325 81h Avenue South •Federal Way♦WA♦98003-6325 ♦253-835-2607 ♦ fax 253-835-2609♦www.cityoffederalway.com Bulletin#160—January I, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application