17-103940City of Federal Way
Community Develop --t Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:17 -103940 -00 -EL
Inspection Request Line: (253) 835-3060
Project Name: KING COUNTY AQUATIC CENTER PHASE 11
Project Address: 650 SW CAMPUS DR Parcel Number: 192104 9051
Project Description: ALT - Install 133 KW solar photo voltaic system to existing system
Owner
Applicant
Contractor
KING COUNTY PARKS
WESTERN SOLAR (GENERAL)
WESTERN SOLAR (ELECTRICAL)
201 S JACKSON ST UNIT 700
319 E CHAMPION ST
WESTES*872DD (3/8/19)
SEATTLE WA 98104
BELLINGHAM WA 98225
4041 HOME RD SUITE A
BELLfNGHAM WA 98226
k
USA
Additional kartnit Informs 106
Is this an Online or O.T.C. application? .................. Yes
Alt. Srvc / Feeder 0 to 200 aml I
PERMIT EXPIRES Wednesday, 15 August, 2018
Permit Issued on Tuesday, August 15, 2017
I hereby certify that the above information is correct and that the construction on the above described property
and the 7occu7pd th will be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way.
Owner or agent: Date:
carr (W VAI�,
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
17103940 00 Address: 650 SW CAMPUS DR
KING COUNTY 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.
M
®
UFER Ground (4295)
® Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
Date ?
By
Date
M
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
V 4 Date ( $'
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF 'A
Federal Way
ELECTRICAL
PERMIT APPLICATION
CEI VE
Lj
PERMIT NUMBER ( 1- _ I O 3 ftt�v _ -(.) V AUG
— 15 2017
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SITE ADDRESS: Lc5b C Yn P U J ; (�
PACE #
LOd q�
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL ##
9 0S L
CURRENT/PROPOSED USE
' U06
PROJECT NAME
W �
(Tenant or Homeowner Last Name)
C
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER-
NAME''
PRIMARY PHONE
MAILIP
J v ADDRESS VLV ( N•` �J � .V f Cr
E-MAIL
CI ' `
�STA}TTE►
ZIP�i
FAX
NAME
`,J e ' a,4-+ ` gy m- -
`�) 2�Y PHONE9739
MAILING ADDRESS-
4c,41 Anr `C
E-MAIL
ELECTRICAL
CONTRACTOR
CIT
Aadt(1nC�n�.
STATE
W
ZI
�
FAX
�
WA STATE+ CONTRACTOR'SLICE(NSSE # EXPIRATION DATE
�1 Z,.Y� !] 1��J 3� C -./
FEDERAL WAY BUSINESS LICENSE #
NAME
Cu-t''�' Z
PRIMARY PHONE
( 360) 774 4 F35
APPLICANT
��REB��p ,U (, iC-�
E-MAIL
TY`
VICLYi1
STAT
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FAX��f•7
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PROJECT CONTACTPRIMARY
c c.. 6cok-T2
PHONE
(36c� �?,U -cr �3
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 (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 supplie a c�tas apart of this application.
SIGNATURE: � DATE
PRINT NAME: or( <— 6 w 1^2,
Bulletin # 160 — January 1, 2013 Pagel of 2 k:\Ilandouts\Electrical Permit Application