01-103627 c
City of Federal Way
Community Development Services �� L Electrical Permit #:01 - 103627 - 00 - EL
33530 1st Way S 1
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
°Project
Name: DECATUR HIGH SCHOOL
Project Address: 2800 SW 320TH 5t Parcel Number: 122103 9034
Project Description: ELE-Electrical for classroom additions to existing high school
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL HULTZ/BHU INC ECONOMY ELECTRIC
31405 18TH AVE S 2407 N 31ST ST SUITE 200 4842 S ADAMS
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98409-2821
98003-5433 (253)473-7660
ElectriCtal Fixtures
Descrlptipir, 0,,,; ty � '' Description Quantity
Qu. Y �;_ � , .crp��?�,...p�L. Quanti '%-',,Description
.�
Alt.Serv./Feed 601 amps-1000 amps] 1 Alt.Serv./Feed Over 1000 amps-Cor 1 Service/Feeder: 101-200 amps-Comr 1
Service/Feeder: 0-100 amps-Comm. 2 , �
PERMIT EXPIRES July 8,2002,IF NO WORK IS STARTED.
• Permit issued on January 9,2002
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: Date: ( - -0
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_ _ w CONSTRUCTION PERMIT APPLICATION
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\)\> AYE ci'r 1 7 ?rrilAPPLICATION NUMBER: 0 I - 1Q3&L�
APPLICATION NUMBER:
L. ` `�`A PPLICATION NUMBER:
BUILDING DEPT. -
**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: 2P1W 334;t s T/W�L T ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ter_ B u OVA' G
T -Ti
MAZ. A L C-A c 4ou
• PROJEC1 INFORMATION
TYPE OF PROJECT(This application): ci BUILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION
30,ECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DES TION(Provide detailed description): G Z."}SS Roam Abp Ij)V 3 t t 1%C14 'U/L-
(U 4)4 sc L
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PROJECT NAME: tC:GA T UP.- In i41'i SC1icv( 4> i /QUI
• PEOPLE INFORMA(t ON
PROPERTY OWNER: NAME' DAYTIME PHONE:
I SAL 4L WAY scteo 512ec..r (155 ) cf4r -4937
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
31,40 i 5 Ave. soul t Cbrr L /,v,At si/A 9R it 3
CONTRACTOR: NAME: DAYTIME PHONE:
E )
MAILING ADDRESS( EET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
APPLICANT: NAME: DAYTIME PHONE:
KL.Tal13rtu .To'C J /3 l7it✓ 7 't Lti?t ako 1?-T (253 ) 3e3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
a4v/ AJ 3( Slit-66..T ificCriCel w 18407 ( )
RELATIONSHIP TO PROJECT: _ FAX NUMBER:
❑ARCHITECT ❑TENANT OTHER(DESCRIBE): �Mk/A. ) 3 -3L�
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ►PPLICANT ❑CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO
{ I
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE a 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: a ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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(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
Federal Way,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 a�s'a part of this application. l
NAME/TITLE: (2 76 tJ1710 N�// �4 NZcI4164i� DATE: '( Mir r (
o PROPERTY OWNER APP CANT a CONTRACTOR