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16-103003City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical Permit #: 16 -103003 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: MERROR LAKE ELEMENTARY SCHOOL SOUTH Project Address: 625 S 314TH ST Parcel Number: 082104 9035 Project Description: Install low voltage data cabling for portable classroom. Install fiber optic backbone. Install AV cabling only. Owner FEDERAL WAY PUBLIC SCHOOLS ARRI*cant INTRACOMMUNICATION NTWK SYS IN Contractor 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?....................................11000.00 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 1 PERMIT EXPIRES Wednesday, June 21, 2017 Permit Issued on Tuesday, June 21, 2016 1 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 age6idance with the laws, rules and regulations of the State of Washington -1,01 Z and the City of Federal Way. Owner FINALED Date: .M of Fe 1 F—M Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE w Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 16 -103003 -00 -EL Address: 625 S 314TH ST Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-0214 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TRIS 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. E] UM GroundDitch E3 cover () 0 Slab/Concrete Floor (4255) 0 Approved rBy Approved Approved Approved to place concrete By Date Date By Date E] Pool Bonding (4195) E3 Temporary Power (4275)1:1Service Final Electrical Approved 0 (4235) Right of Way —^ Approved By Approved Approved Date moved Date By Date By Date By Date 0 Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) ApprovedAppr Approved By Date By Date By Date D Fin trical (4055) Approved B l Date �� -Rg Rough Electrical Appmed Final Electrical Approved 0 Right of Way —^ Approved By Date By Date By Date CITY OF 'A Federal Way RECEIVED ELECTRICAL JUN 21 2015 PERMIT APPLICATION CITY OF FEDERAL WAY Aep O � � � �- CDS PERMIT NUMBER SITE ADDRESS' / / 2 SUITE/UNIT/SPACE # PROJECT VALUATION �-� $ ASSESSOR'S TAX/PAR EL # � ^ O �� 00 Z (—/l// CURRENT/PROPOSED USE ,�- _ PROJECT NAME (Tenant or Homeowner Last Name) �e�✓fKis�t�ari �CLl�a/�� /y/.Y,e'�i°l�(iy�{G=S- �a�T'O6�J ��l/V ci 1st v �s i.�� aryl° PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME /PRIMARY .0-d-1 PHONE (JJ 3) 9Yr-- Sy3s MAILING ADDRESS 333 3O /j vC fou -,& E-MAIL �jliytlsvi•�)or .o CITY STATE I ZIP FAX NAME� PRIMARY PHONE ! _7Z 25_3 MAILING ADDRESS % 22 �vD ��x/ S� F -MAIL 1 �� .�©i �r �Ca , ELECTRICAL CONTRACTOR CITY 7iZLo�iidl, STATE /t ZIP ;,i /0 7 FAX (zf3 ) s 79- WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE 7Z.1,--,►•S99yLi /0 117 FEDERAL WAY BUSINESS LICENSE # NAME'/ .�� i`Jrc PRIMARY PHONE (40 ),711 - APPLICANT NAILING ADDRESS �E-�iisrccr�/ CITY STATE ZIPQ FAX / PROJECT CONTACT NAME �.va r� uiatiZ PRIMARY PHONE (2j 1 i 732 - S3Y! 1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 ?f the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a pw&t of this application. PRINT Bulletin # 160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application 4 - Caw