12-102738City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KING COUNTY AQUATIC CENTER
Project Address: 650 SW CAMPUS DR
0 Electrical
Permit #: 12- 102738 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Description: Install 0 -200 amp service for temporary portable generator
Parcel Number: 192104 9003
Owner
Anolicant
Contractor
CITY OF FEDERAL WAY - PARKS
KING COUNTY
KING COUNTY
33325 8TH AVE S
3005 4TH AVE S
3005 4TH AVE S
FEDERAL WAY WA 98003 -6325
RENTON WA 98055
RENTON WA 98055
Additional Permit Information
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, December 12, 2012
Permit Issued on Friday, June 15, 2012
1 hereby certify that the above nfor n is correct and that the construction on the above described property and
the occupancy and the use II in ccord nc the laws, rules and regulations of the State of Washington
d t e of Federal Way.
Owner or agent: Date: �' �Z'
FINAI FD
0/w/V
IiA FE INSPECTOF AREA ANDTYPE INSPECTION
THIS CARD IS TO f40, MAIN ON -SITE j
CITY °F` ! Construction In ection Record Federal Way INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 102738 -00 -EL Address: 650 SW CAMPUS DR
Project: CITY OF FEDERAL WAY - PARKS FEDERAL WAY, WA 98023 -8425
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)
Final Electrical
Approved
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
Feeders /Sub - panels (4045)
0
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
Date �Z-
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
a 4k
• z _
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CITY OF
Fedft ftD
ELEC'T'RICAL
JUN Yv 2012 PERMIT
APPLICATION
CI1Y OF FED+E ctricaI permits maybe obtained on -line at www.cityo ederalway.com"
SITE ADDRESS: (, -c) e%
a t'j rz� t1/1 r� t ` b K, i V —
SUITE /UNiTJSPACE i
ASSESSOR'S TAX/PARCEL #
G
C_ O _3
CURRENT /PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
C %`
Detailed description of work to
be included on this permit only
PROPERTY OWNER
INNEEMENNEENNEEM
NAME
�� C D C� dV7Y
PRIMARY PHONE
(� ) 16 - qq4 [ f -
MAILIN/7GG ADDRESS rr
EMAIL
CITY
6z ,I
STATE
c-'
ZIP
FAIL
-
NAME
PRIMARY PHONE
MAILING ADDRESS
E_MAiL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
71'1 rlleF-
E. "L
CITY j
.�.�E..31"'1" -f.. L.. `^
STATE
ZIP
,i E✓ i C;1
,/ rf I FAX ry
( 2a- } 461 - '9E SS
S
PROJECT CONTACT
NAME
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in 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 authorized 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 Jincluding costs, expenses, and attorneys' fees incurred in
the investigation and defense of suc4 claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arisealt of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplia 90 part of thisApplication.
SIGNATURE:
PRINT NAME:
62.15J21
33325 8'h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253 -835 -2607 ♦ fax: 253- 835 -2609 1 www.cityoffederalway_com
Bulletin # 160 - January 1, 2011 Page I of 2 k:\J4andoutslElectrical Permit Application