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02-105622 City of Federal Way Community Development Services Electrical Permit #:02 - 105622 - 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: HARRY S TRUMAN HIGH SCHOOL Project Address: 31455 28TH S Parcel Number: 092104 9054 Project Description: Install low voltage voice and data cabling throughout school. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL EZ-INTERFACE EZ-INTERFACE 31405 18TH AVE S 1111 S 344TH ST SUITE 202 1111 S 344TH ST SUITE 202 FEDERAL WAY WA 98003-5433 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 (253)444-5555 Electrical Fixtures 1SDescrlpttotls =o "' & �" o ® Y i ab�a .. � �.�..�. � s��'.:, aF � `Qlaanfity �" �dctp�,o.� om �` Low Voltage-Other Commercial 22400 PERMIT EXPIRES June 15,2003,IF NO WORK IS STARTED. Permit issued on December 17,2002 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 Way. / Owner or agent: GAG G Date: /o�//7k 7 — (2— 0 3 CSC( .may 4.",o✓ �� oeC�, RECEIVED CITY � E _ DEC 1 7 2002 CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: d L 0 (v - Z- 00 e- \)\> piY CITY OF FEDERAL WAY APPLICATION NUMBER: -BUILDING DEPT. APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS:4066-S.-320.Federal Way,WA ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): New Truman High School • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION X ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Installation of low voltage voice and data infrastructure. PROJECT NAME: New Truman High School • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: Federal Way School District (253) 945-5930 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 1066 S.320"',Federal Way,WA 98003 CONTRACTOR: NAME: DAYTIME PHONE: t - 1-, i,' z U r (253) 475-6950 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 5 L74( r1( % %/7: :17_ (253) 475-6950 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: A-9,9 3_- 10 3 7 7 0-0-0-B L (253)475-6659 CONTRACTOR'S REGISTRATION NUMBER: EZ f A 7/Ft ©C)c K D 57g/zery EXPIRATION DATE: 9(copy of card required) 7 s ai 10 / 08 /2003 APPLICANT: NAME: ��- DAYTIME PHONE: Antipodes Inc.d.b.a.E-Z Interface,Inc. �J c� ��,�2 (253) 444-5555 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 1111 S.344th St.Federal Way,WA 98003 Suite 202 (253) 444-5555 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT o TENANT X OTHER(DESCRIBE): Contractor (253) 444-5555 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: X PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR Jack@Eary.Com • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC) **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 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: o ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o 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 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 of Fede al Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of m oratioupplied to the city as a part of this application. /.4G /G� f• / l ,e- , / AME/TITLE: -. f(� I. )7!A &' !..'(/ % /-n 1%,,- .(A_ DATE: l -// // ' C— ❑ PROPERTY OWNER ❑APPLICANT 1KCONTRACTOR FOR OFFICE USE ONLY: I • 0 NEW 0 ADDITION 0 ALTERATION ] REPAIR O TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING'.DESIGNATION BUILDING SHELL ONLY?: .❑YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? t: YESD NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO PLATTED LOT? ❑YES ❑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 www.cityoffederalway.com