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02-101637 City of Federal Way Community Development Services Electrical Permit #:02 - 101637 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph.253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050 Project Name: FEDERAL WAY HIGH SCHOOL Project Address: 30611 16TH S Parcel Number: 082104 9001 Project Description: ELE-Power and low voltage control brought from school building to sign(sign hookup on separate permit) Owner Applicant - Contractor FEDERAL WAY PUBLIC SCHOOL SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 31405 18TH AVE S SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC FEDERAL WAY WA 98003-5433 PO BOX 3630 PO BOX 3630 KENT WA 98032-0210 (206)878-7333 Electrical Fixtures Description• Gl K,Description - Quantity[",. 3 ;•:'Description: v.qtWentityi Circuits- Commercial V 1 PERMIT EXPIRES October 15,2002,IF NO WORK IS STARTED. Permit issued on April 18,2002 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 W . Owner or agent: 42/6X--)(I° QG'e Date: C 0 `� ( C-q p e R-0 �� --o Z FeA/A-L ogo v�8 S� d �Z 3//4` © 2- — � ' : FEY �` CONSTRUCTION PERMIT APPLICATION � � RECEIVED APPLICATION NUMBER: 0 Z - 1 D - 2 APPLICATION NUMBER: - - APR 1 8 2002 APPLICATION NUMBER: - - **TheLfil P90E ETlfermation—Please print(in ink)or type** Please note: Electrical,Fire l r7arns and Engineering permits may require a separate application. • /� ■ PROPERTY INFORMATION SITE ADDRESS: 3 O(, I l I C A-v,e S. ASSESSOR'S TAX/PARCEL#: — LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION . TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): (7UC.,-r r- c.-"ed.. l-C e0 Vo L2li 9'. (i iLl T sci L- T •e .LSI tom/7 ,5 /yti PROJECT NAME: Fe C 4.00. (-- te...)a e/y /A7A Shoot... S (q"y ' • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: F c .emscj &hc)L Dis7`Nc'c7 () - MAIUNG ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): 10 66 S. 34.5.1 S?: t.�ei._ j. � 3 CONTRACTOR: NAME: DAYTIME PHONE: 511.E 004,-4. ri-teL5c)t. E1.occ -t L 0.0G)8 -7333 TAING ADD (STREET ADDRESS;CITY,STATE P): EVENING PHONE: UI BOA 31030 keiT evht. 98032-- ( ) - CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: 2a - 1QiEi1r - 0 0879 -7807 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (ropy of card required) 4 J1 E 2 P 1Y a 6- 5- e 1. W o7 1 31 / 03 APPLICANT: NAME: DAYTIME PHONE: ( ) - MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** r NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL - ^BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • ' ■ FIXTURES - Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING 1 BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) . RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) - , ■. DISCLAIMER/SIGNATURE BLOCK . I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as part of this application.� L,� / NAME/TITLE: �l�(i/ -c�ryl/(� DATE: / ` ,— ❑ PROPERTY OWNER�� PPLICANT $.CONTRACTOR :FOR OFFICE.USE ONLY:,id 1Clraumorrga t!DDITION' °0 ALTERATION' ","'' =] REPAIR-`.PA1J iiNkNt-IMPROVEMENT I'L ` ..CENSUS.CODE: ',r'r'_lr7�'k�;)f', ,',:' "z'' Y,' , , '.•,':.e.i. „ ,`LOT.SIZE:'t 7,:': ';4..“1,05,1 ,,'. -.,.., • ,' • ZONING bESIGNATTON ,4:, ,' 'S.<` "' BUILDING SHELL ONLY?kw❑YES -.❑ NO fCOM6 PCAN'DESIGNATION`,'' . ,' <;y. ; N' : . �� -- .� .,a.�, .<.-,,. _ . BA5ICPLAN_ ,,,- ❑Ni5-Y ❑ NO' SE0-I0,I5W_ :,;TOWNSHIP ,, ,,RANGE - , ?< ..NEW,ADDRESS REQUIRED? ❑ YES ❑,NO :PLATTEDiITi:'2•❑YES - 0 NO CHANGE OF-USE?.•= ❑YES 0 NO , • COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129