14-105642 7
•
• w Electrical
City of&FederalWay c , Permit #: 14 105642 00 EL
Community Econ.n.Dev.Services '
33325 8th Ave S
Federal Way,WA 98003 aggraa Request Inspection Re t Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)83 5-3050
Project Name: FEDERAL WAY HIGH SCHOOL-TEMPORARY PORTABLES
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Medium voltage(12.47 kv)service to overall temporary portables on site.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS SALISH CONSTRUCTION SALISH CONSTRUCTION
33330 8TH AVE S 5911 N LEVEE RD SALISCC120JH(12/23/15)
FEDERAL WAY WA 98003 TACOMA WA 98424 5911 N LEVEE RD
TACOMA WA 98424
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; 1
PERMIT EXPIRES Monday, April 27, 2015
Permit Issued on Wednesday, October 29, 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: 1"3-k5t-(Q--- Date: io /a4(20((
• THIS CARD IS TO MAIN ON-SITE .
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105642-00-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.
LIFER Ground(4295) Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) El Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date, t
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date _ i LI
Rough Electrical Final Electrical •CI
of Way
CIApproved ElApproved Approved
By Date By Date By Date
CITY OF
A, • EtlibCTRICAL
Federal Way PERMIT APW ' TION
PERMIT NUMBER ( 4 _ l 0 5' 42, __ _
00 0 C T 2 g z 014
CITY OF FEDERAL WAY
suoze T/SPACE S
SITE ADDRESS: 306,l 1 t4, `K A\I6 5 C604'(1Pet. We Ww
PROJECT VALUATION ASSESSOR'SAR/PAROL# � ` CURRENT/PROPOSED USE
$ l Sq,WO Z - O0 (
— — — —
PROJECT NAME / D
(Tenant or Homeowner Last Name) f(a 1-tiGH Sc ulo4 L Paj i(,65
PROJECT DESCRIPTION iti6t,l'M ‘h OM-C6 62 K7 KV Lek —Co Nap Po(Z"zt e>(%
Detailed description of work to tV t\,01^1 G T'+wA/\
be included on this permit only
NAME
� PRIMARY PHONE
PROPERTY OWNER cdt6'RAI. OW K t&ii Q,1 L. ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
SAcU514 Co1NS-zAtk it (253 ) QzZ-47.3-z.S
MAILING ADDRESS E-MAIL
ELECTRICAL S°1 l( A.I. L6VEZ ADA()
CONTRACTOR CITY STATE ZIP FAX
'tikCANA Wk 41.6`t2 4 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
5ftku S CC- l 2\ QN / /
NAME PRIMARY PHONE
APPLICANT 5 ° ''�`� ( ) -
MAILING ADDRESS E-MAIL
Sill 64. 'Mg fa
CITY STATE ZIP FAX
—CA CCON k WDA 4 ettelq ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT c• (-65.44 c -• ( Z.5"3 ) 2(8- 8233
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: <tzA1/4 /� DATE to f zs (20 i H
PRINT NAME: �ei dT 1lci AW (,c$C—
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application