12-103928a Et�ctrical
City of
Community & Econ. DeFederal
Services Permit #: 12 -103928 -00 -EL
33325 8th Ave S
Federal Way, WA 98003L Inspection Request Line: 25
Ph: (253) 835-2607 Fax: (253) 835-2609 P q 3) 835-3050
Project Name: EDUCATIONAL SERVICE CENTER - FEDWAY SCHOOL DISTRICT #210
Project Address: 33330 8TH AVE S Parcel Number: 926500 0120
Project Description: Installation of low -voltage data cabling in rooftop penthouse & coiled in vacant 3rd floor
ceiling for future use.
Owner
Ap lin cant
Contractor
FEDERAL WAY SCHOOL DIST 210
INTRACOMMUNICATION NTWK SYS IN
INTRACOMMUNICATION NTWK SYS IN
31405 18TH AVE S
(INSI)
(INSI)
FEDERAL WAY WA
4922 N PEARL ST
INTRANS994JL (4/10/13)
98003
TACOMA WA 98407
4922 N PEARL ST
TA WA 98407
PERMIT EXPIRES Wednesda ebruA120, 2013
Permit Og
ugu 12
I hereby certify that the above information tion on the above described property and
the occupancy and the use will be in accrule nd regulations of the State of Washington
ral Way.
Owner or age . N1.0% Date:
Q
CITY OF 110':&
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -103928 -00 -EL Address: 33330 8TH AVE S
Project: FEDERAL WAY SCHOOL DIST 210 FEDERAL WAY, WA 98003-6392
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.
❑
UFER Ground (42 5)
Ditch cover (4030)Slab/Concrete
Temporary Power (4275)
Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
L'_�_ - 1/ 6)
2
FederWffffVEp ELECTRICAL
AUG 24 201)PERMIT APPLICATION
CITY OFJ@Rqt 1
cal permits may be obtained on-line at www. cityo ederalway.com**
SITE ADDRESS:'
3 3e I-- S -/` /Ju5 j C r�z'i .�z L
e-1--1
'
SUITE/UNIT/SPACE i
ASSESSOR'S TAX/PARCEL # 0 � �
�
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
<
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
V5 3
MAILING ADDRESS
e-11
E-MAIL
;D 06"-
CITY
STATE
ZIP
FAX
NAME !
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
Z/l 22 -
CONTRACTOR
CITY
STATE
ZIP
"i �IC
FAX
(25-3 ) S-7 - -/ '
WA STATE CONTRACTOR'S LICENSE K EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
-
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAMEPRIMARY
.,
PHONE
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 Iaws.
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 of this application.
Y-2 3_ 10: 2 -
PRINT
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page I of 2 kA HandoutsTlectrical Permit Application
3 L-