08-104157Electrical
CiityDe elopmentS Perm #: 08- 104157 -00 -EL
Communi Develo ment Services
P.O. Box 9718
Federal Way, WA 98063 -9718y Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 - 2609 P G
Project Name: FEDERAL WAY COMMUNITY CENTER
Project Address: 876 S 333RD ST
Project Description: Installation of emergency back -up generator.
Parcel Number: 172104 9138
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
KEN MILLER
AMAYA ELECTRIC
PO BOX 9718
CITY OF FEDERAL WAY
AMAYAE*274B3 (1/31/10)
FEDERAL WAY WA 98063 -9718
33325 8TH AVE S
PO BOX 98686
FEDERAL WAY WA 98003
LAKEWOOD WA 98496 -8686
Service greater than 1000 Amps ? ...........................Yes
DATE OR AREA AND TYPE OF INn)PECTION
THIS CARD IS T EMAIN ON -SITE
_k 0
CITY OF Community Developffe nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 - 3050
PERMIT #: 08- 104157 -00 -EL
Owner: CITY OF FEDERAL WAY
Address: 876 S 333RD ST
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ LIFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab /Concrete Floor (4255)
Approved Approved Approved to place concrete.
By Date B Date 7_ By Date
❑ Pool Bonding (4195) ❑ Temporary Power (4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By Date _ 0
❑ Feeders /Sub - panels (4045)
Approved
By Date
❑ Final Electrical (4055)
Approved
B ` Date A— 1 6-0
❑ Rough Electrical
Approved
By Date
❑ Rough Electrical (4225)
Approved
By Date
For inspector reference
❑ Ceiling Cover (4020)
Approved
By Date
❑ FINAL - Electrical
Approved
By . Date
b�
an of 1V it O � i O � L�
Federal V,�
PERMIT SF MF CO ME EL L DE EN FP
Co MMUNITYDEVELOPMENTSERVI
33325 vERALN[JESO[rrH•POBOX p o zoo�ppLICATION r
FEDERAL WAY, WA 98063 -9718
253 - 835 -2607• FAX 253 -835 -2609
:L•it)IU.CIIIIa �" FEDERAL WAY
The following is required,.ilyjgp zat(on - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS IO J v l J %C ✓ WrL SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # O _ - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for teng ft legal description)
PROJECT 1 • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit on
/ Wi
�C�61I� e/i e Y,ia a u, ,ka, 4y -aex ✓fe(A) YA e/il1- .,,Aa
SPg>< rn n
PROJECT NAME (Name of Business or Owner Last Name) F W
PEOPLE I • •
PROPERTY
OWNER
C CONT CTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
APPLICANT NAME
OFFICE PHONE
PRIIVIARY PHONE
_
CELL PHONE
(d S3 s-8
-
MAILING AD RESS
CITY. STATE. Z�
/J 9'0`0,3
E DRESS
85--%
0
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
ING DRESS
_
CELL PHONE
(d S3 s-8
-
ING AD S
CITY. STATE, ZIP
CELL PHONE
❑ Architect ❑ Tenant ❑ Agent ❑ Other
85--%
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(,9-)s$k
-�s 8'
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
CO PANY NAME
ie r
APPLICANT 3AME
OFFICE PHONE
(v2S3) 2a -
ING DRESS
CITY, STATE, ZIP $ (t
CELL PHONE
8 S6
b
RELATIONSHIP T'O PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
85--%
.I�
N • PRIMARY PHONE E -MAIL ADDRESS
f
�..2 �, l) A kit s ( ) � oZ - 9S ,It�la�� P 1.�1P.t , cr.�
NAME
Per RCW 19.27.095:
Lender information is required 4f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
❑ YES o NO
THIRD
UP /SEPA /SU? ❑ YES
❑ NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING PROPOSED
TOTAL
TOTAL EnnwG sF
TOTAL PROPOSM SF
TOPALSF
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
N FIXTURES
Indicate number of each type of fudwe to be installed or relocated as part of this project. Do not include existing fudwes to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commerewa )
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (orTlb /Shower combo) LAVS (Baumoomsinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (r ikQ
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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 responsibilityfor compliance with local, state, orfederal laws regulating construction or environmental laws.
Ifurther 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 claiml, which may be made by any person, including the undersigned, and filed against the city, 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 a part of this application.
SIGNATURE:
Owner
from U2rkrLLLr Libz U1YLY'
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP /SEPA /SU? ❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 —January 1, 2009 Page 2 of 4 MandoutsTermit Application
�.� ECET� P��.�- 2S � g� 43 C
194
001(AlUtdiYDBVBLOPA(BIYI SSRVI p 0 4 2008 PERMIT SF MF CO M1
933 2S 8TH AYBNUB, Aiil • PO BOX
FEDERAL WAY, WA 98063 -9718 EDE RkyLICATION
259. 895.2607• FAX 253-83 -2 � F nK//'�SILi
The following is rmp red(;R5uWon — an incomplete application will not be accep Please print
ASSESSOR'S TAX /PARCEL A
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A ■q-- ~jbr1wvwAvd N
PROJECT •• •
1 �2
EL L DE EN FP
(in inN
LOT SIZE (s, )
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 13 MECHANICAL
❑ DEMOLITION ECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Name) C
PEOPLE INF• •.
PROPERTY
OWNER
CONTRACTOR
APPLICANT
• sv �
LENDER
NAME
PRIMARY PHONE
MAILING ADDRESS
CCTV, STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
MAILING AD
APPLICANT NAME
OFFICE PHONE
CITY. STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S RZEI !RATION NUNKIM EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINO ADDRESS
STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY O , \ E MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender igformation is required ifprqlect value exceeds ;6,000
MAILINO ADDRESS
CITY, STATE, ZIP
/PHONE
EXIST13FG USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRM? ❑ YES ONO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE
SEWER SERVICE PROVIDER ❑ LAiMHAVEN ❑ HIGHLINE ❑ P1
&at,- t3o
❑ TACOMA ❑ PRIVATE (WELL)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . -FT. J
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
FIRST
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
SECOND'
HOODSIcommrdq
COMPRESSORS
FURNACES
THIRD
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
a YES o NO
DECK (0 COVERED OR ❑ UNCOVERED
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
naurara
riwroseo
term.
M"Marmmer
mraLraawswar
Tw"ar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
Afccff"CAL
LAVS m ur-mskdo
URINALS MISC (Deacribe)
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MAST BE INCLUDED WITH APPLICA77019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BwS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODSIcommrdq
COMPRESSORS
FURNACES
RANGES
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (.nn /81w-0wh4
LAVS m ur-mskdo
URINALS MISC (Deacribe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (T.&q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES .
HOSE BIBBS
SUMPS
a YES
I certify under penalty qj perry that I am the property owner or authorised agent of the property owner. l caWy that to the best of my
knowledge, the 4{ formation submitted in support of this permit application is true and correct. I eertUk that I will venpil 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 responsMitly for compliance with local, state, or federal taws 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' fees incurred in the
investigation and dgfense of such claim), which may be made by any Person, including the undersigned, and filed against the city, but only
when such claim arises out of the reliance of the city, including its qfflcers and employees, upon the accuracy gfthe information supplied to
the city as apart of this application.
SIGNATURE: DATE
Property Owner and /or Authorized Agent
a NEW o ADDITION
o ALTERATION
o REPAIR o, TENANT IMPROVEMENT
BUILDING SHLLL ONLY?
o YES n NO
BASIC PLAN?
o. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
n NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —January 1, 2008 Page 2 of 4 k\Iandouts\Permit Application