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02-105428 City eWay Community DDevvellopment Services Electrical Permit #:02 - 105428 - 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: SACAJAWEA JUNIOR HIGH SCHOOL Project Address: 1101 S DASH POINT Parcel Number: 052104 9024 Project Description: ELE-Altering 2 circuit for replacement of 3 existing parking lot poles and re-hooking up to existing circuits Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 31405 18TH AVE S PO BOX 3630 PO BOX 3630 FEDERAL WAY WA 98003-5433 KENT WA 98032-0210 KENT WA 98032-0210 (206)878-7333 Electrical Fixtures :gi n.==©.s iptior>.; �! :? " E-';��0WcrIptior o,Qtia ti COO* Circuits- Commercial 2 PERMIT EXPIRES June 1,2003,IF NO WORK IS STARTED. Permit issued on December 3,2002 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 accorda e with the laws,rules and regulations of the State of Washington and the City of Federal Way. 2 Owner or agent: 61 Date: /4(7? ��3 -0 P- a ( 3 c ej-0 /1(7°,4 (- e� Olt 4:7, G CONSTRUCTION PERMIT APPLICATION �/ V � - APPLICATION NUMBER: Q1- L0 5'V 28- i0 EL RECEIVED APPLICATION NUMBER: - - APPLICATION NUMBER: _ -� - - DEC 0 3 2002 **The following is required information-Please print(in ink)or type** Please note: EleatTIVIIDROETfiefeeikibli4stems and Engineering permits may require a separate application. T. 1 k I • . ' ■ PROPERTY INFORMATION SITE ADDRESS: 1 1 0 1 S 4:15 h Pe°,/$17PCIASSESSOR'S TAX/PARCEL#: - 1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PRO]ECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DES PTION(Provide detailed description): 11 L�_P e t- ti t,, :N g i ng L 7` L¢ g A.,� )Li C,"-t-e 5 , �t (a. Ci�s) PROJECT NAME: Sa-€jz / e (J' • / Sateae • I • - ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: F�1� /I wuY �,�c.' �r � DAYTIME PHONE: - MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): �•J `r /1 CONTRACTOR: NAME: DAYTIME PHONE: S h wd� -J�14&ssN E (0 7a -7333 MAILING ADDRESS(�ET ;CITY,STATE ZIP): EVENING PHONE: O, X 3'3 ‘,41--/LJk cia>3a-- ( ) - QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - 1 1 s- - FAX NUMBER: - 7 DO CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: DDAATE: (copy aid required) S tFe P P& e 5 fiv IQ c,7 /3 / / c;t3 APPLICANT: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) _ RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT VI CONTRACTOR ■ DETAILED BUILDING INFORMATION S 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: 0 LAKEHAVEN 0 HIGHUNE 0 TACOMA PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) 0 • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT 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 UNITS) 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 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 petform 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 ses out of the reliance of the city,induding its officers and employees,upon the accuracy of the Information ied to the dtr s a part of this app'cation. NAME/TITLE: DATE: / ..623— 0 o PROPERTY OWNER 0 fKPPLICANT El CONTRACTOR • •IFOR_OFFICE,USESONLY:r'~;I 4-0''NE*1 ` O!ADDITION `'i'L ttl:TERATION' ':4 f% )1EIPAIR':;''' '.f TENANT=IMPROVEMENT- E: -LOTSIZE."', '``"' ' CENSU5.COD �'��,�•,,�°u rr��-„ _ .,��q;�. ,� z20NING ESIGNATION „. � , _BUILDINGSHELLsONLY?r.,❑YES ".1:1 NO ; COMPALA,N DESIGNi,,kTION`.t- BASIC PLAN? ❑.ifE5' .❑ NO= SECTION Y r;',TOWNSHIP , _.RANGE - I-NEW ADDRESS REQUIRED? _ 0 YES ❑"NO :PLJIITED_LOT? ❑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