13-101719 • • Electrical
Community&Econ.Dew Services Permit #: 13-101719-00-EL
9-00-EL
33325 8th Ave S
Federal Way,WA 88003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2609 p
Project Name: AQUATIC CENTER
Project Address: 650 SW CAMPUS DR Parcel Number: 192104 9003
Project Description: Add(1)cabinet&(2)20-amp circuits.
Owner Applicant Contractor
KING COUNTY WESTOWER COMMUNICATIONS INC WESTOWER COMMUNICATIONS INC
PO BOX 3482 (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98063-3482 19500 SW CIPOLE RD WESTOCI964C6(8/31/13)
TUALATIN OR 97602 19500 SW CIPOLE RD
TUALATIN OR 97602
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 3
PERMIT EXPIRES Tuesday, October 15, 2013
Permit Issued on Thursday,April 18, 2013
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
nd the City of Federal Way.
Date: �/
,j
Owner or agent — - �3
THIS CARD IS TO MAIN ON-SITE
„ 43 Construction f
Const uct�on In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101719-00-EL Address: 650 SW CAMPUS DR
Project: KING COUNTY 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.
O LIFER Ground(4295) 'CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ,0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By C u_L,, Date 4- a Li..t'.).,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1
• •
C�,� , ELECTRICAL
Federal Way PERMIT APPWDZIVEIDON
- ( O0 APR 182013
1 - ( 0 I
PERMIT NUMBER— � _ — CITY OF FEDERAL WAY
SUITE/tlifM'/BPACE#
SITE ADDRESS: /„50 S , . 1 /jam n� j�ri v�
PROJECT VALUATION U✓ /ASSSESSOCR''S TAX/PARCEL CEL# lf' -Of" CURRENT/PROPOSED USE
$ 1200 l q 2 10 4 - 0 03 cal -ioweir
PROJECT NAME A-0, r7(I, (end
(Tenant or Homeowner Last Name)
a-d-oL / ?a77,►p
PROJECT DESCRIPTION °Z °2-2 /) r a
Detailed description of work to
be included on this permit only
NAME ('� red / / PRIMARY PRONE
PROPERTY OWNER �i( a"T- f=ec�fir^ Ij(J�u�] (053) j�,�,� - Y�oo0
MAILING RESS ` E-MAIL
335- 1 i Wii 'j S STATE ZIP FAX
� { Am-- v00,3 ( ) -
NAME PRIMARY PHONE
ti lnSMUigi2 nuto ec l 8 s (2� )) 76,Z- 5 s8
MAILING ADDRESS �1.. E-MAIL
ELECTRICAL q%I Si dn&1 -yes � ichyntocnd%d495kuJi?f oin
CONTRACTOR
CITY STATE ZIP �� / FAX
Cr t rL 5 a8C L (Zola ) 367-lt10�.
WA STATE CONTRACTOR'S LICENSE e EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
t,ti 5TOCI. q(,04 C 6 )Z /3 / /1.)i
NAME PRIMARY PHONE
APPLICANT A 7 T /3'L b/L/7v/ ( ) -
MAILING ADDRESS E-MAIL
/62-24 N wAi WI STATE ZIP FAX
l eclmaid OA- 9(yosa- ( ) -
N AME PRIMARY PHONE
PROJECT CONTACT Jesse CActe Mar ( ) 61g•- (011_
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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(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,
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: DATE rT '1.5-l 3
PRINT NAME: / .1 Ad et
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application