16-100857 ^ _ i4 'a !f+ __
• Electrical
comma ty&E Dev.Services Permit #: 16-100857-00-E L
33325 8th Ave S
Federal Way,WA 98003 I L E
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BRIGADOON ELEMENTARY SCHOOL
Project Address: 3601 SW 336TH ST Parcel Number: 232103 9003
Project Description: Replace fire alarm panel system
`
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS JOHN BURT WELL GROUNDED ELECTRIC LLC
33330 8TH AVE S WELL GROUNDED ELECTRIC INC WELLGGE963PJ(1/05/17)
FEDERAL WAY WA 98003-5433 16013 MANOR WAY 15026 OLD MANOR WAY
SEATTLE WA 98087 LYNNWOOD WA 98087
Additional Permit Information
Electrical Work Valuation? 1500 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-Fire Alarm(Comms 1
PERMIT EXPIRES Thursday, February 16, 2017
Permit Issued on Wednesday, February 17, 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 accordance with the laws, rules and regulations of the State of Washington
Otl thei�C Era!Way.
Owner or agent: LII Date:
F
ltd
XL .
t) ,
THIS CARD IS TO ON-SITE --
CITY
OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-100857-00-EL Address: 3601 SW 336TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98023-2929
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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.
*0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) '0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
4 .
Final-Electrical(4055)
Approved
By ism,„ Date 'LI ( I V
El Rough Electrical •
CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
lop. .
• 41)
� �, PERMIT APPLICATION
Federal Way
I
PERMIT NUMBER \ _ O \^\\\' 1 ' _ c 1
1
i\'1C
_ " TARGET DATE
SITE ADDRESS - SUITE/UNIT►
3601 SW 336th Street FACP RM.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ••
$ 9952.00 2321039003. S.
•
TYPE OF PERMIT ❑BUILDING O.PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING Dit FIRE PREVENTION
NAME OF PROJECT Brigadoon Elementary - FACP Replace-
PROJECT DESCRIPTION Rapieace FACP at Brigarinon•Flernentary. Joint venture -
Detailed description of work to between SimplexGrinnell uarimpli Grounded Fiectrin
be included on this permit only
MANE
Federal Way Public Schools _` 11E-5057
PROPERTY OWNER MAILING ADDRESS E-MAIL
1211 S. 332nd Street
CITY Federal Way AWA z>p 98023
•
NAMEWell Grounded Electric PHONE 206-512-8001
MAILING ADDRESS - pL
CONTRACTOR 16(111 M?nnr Way •
CITY
- . Lynnwood" S'WA ZIP 98087 - FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I •
WELLGGE963PJ 01/05/2017 12-105738-00-BL
NAME ONE
SimplexGrinnell 206-291-1400
APPLICANT MAILING ADDRESS EMAIL
9520 10th Ave S. Stpe 100 jastebbinssimplexgrinnell.con
CITY
Seattle i eTWA ZIP 98108 F 206-291-1500
PROJECT CONTACT NAME SimplexGrinnell/Janet Stebbins (permit) PRninb°-° 1-1468
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 9520 10th Ave S. S ite 100 jastebbinsQsimplexgrinnell.corn
concerning this application) CITY Seattle WA 98108 WP FAX
206-291-1500
NAPE
PROJECT FINANCING 0 OWNER-FINANCED
When vahre Is$5,000 or more WAILING ADDRESS,CITY,STATE,ZIP PHONE •
pal/19.27.095) ,
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the beat
of mg knowledge,the information submitted to 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 authorised 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'fess incurred in •
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the nits,
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. •
' .
sIONATURE ',I A wile ./ f �(O lilt," DATE 1/15/7016
PRINT N ,, Janet Stebbins for SimplexGrinnell
Bulletin#100---December 29,2015 Page 1 of 3 klHandouts\Permit Application