16-101692 • • Electrical
Ctty ofity&FEcon.
Dev.al ay Permit #: 16-101692-00-EL
Community&Econ. Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253 253 835-2607 Fax:(253)835-2609 p q � )835-3050
Project Name: WILDWOOD ELEMENTARY SCHOOL
Project Address: 2405 S 300TH ST Parcel Number: 042104 9167
Project Description: Installing(18)new data drops for data network wireless
wn r Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS LARRY HOWSER INTRACOMMUNICATION NTWK SYS IN
33330 8TH AVE S INSI (INSI)
FEDERAL WAY WA 98003-5433 4922 N PEARL ST INTRANS994JL(4/10/17)
TACOMA WA 98407 4922 N PEARL ST
TACOMA WA 98407
Additional Permit information
Electrical Work Valuation? 5400 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? Yes Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial I
PERMIT EXPIRES Thursday, April 6, 2017
Permit Issued on Wednesday,April 6, 2016
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 a • •ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or age t: " Date: ! — ( j
0
j.n�.
• THIS CARD IS TO IN ON-SITE
CITY
S 111.1 9 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101692-00-EL Address: 2405 S 300TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-4225
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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
.By v1/4_ Dateve\_\2_)L
E ' Rough Electrical ElFinal Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
•
CITY OF
E C'TRICAL
Federal Way PERMIT APPLICA ION
PERMIT NUMBER (S/ - o ( c9 z co APR 0 2016
EDERAL WAY
SITE ADDRESS: 1G `C-7
C E I / #
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ _ 7--
PROJECT NAME
(Tenant or Homeowner Last Name) 6_2, 46/2.4-62)c, „Se
d/.7 /),171,� ®'m /rte?', /rte S. ami ss roof
PROJECT DESCRIPTION /1, ®��y7,.41?-7-S
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER eG?`fiei/64/7.7 1 CV 4/'1-1"- ( ) -
MAILING ADDRESS E-MAIL
CITY � STATE ZIP FAX
/ GI`1 ,'0/ 7 Cif/% ( ) -
NAME PRIMARY PHONE
(25-3) 264-0 V/[--
MAILING ADDRESS E-MAIL
ELECTRICAL K 2 .t/a1e.77 A'est/ L'frAn",1 7,7,1
c� ra 3 ,ea.
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.Z/(/7;2/1-,VS l%�.�� l//to 1/7
NAME PRIMARY PHONE
APPLICANT b ,�/:SZ (�.�j )
MAILING ADDRESS j E-MAIL
CITY STATE ZIP FAX
W$3 )j7S- '/f
NAME PRIMARY PHONE
PROJECT CONTACT , 1 12.s,-3 ) 2?2-53 Y
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 apart ., this application.
SIGNAT - DATE j`�— 2e'/ •
PRINT AME: /�f1L/Li
•
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application