00-105909City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:00 - 105909 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: STEEL LAKE
Project Address: 31130 28TH S Parcel Number: 092104 9026
Project Description: EL - Install 100 -amp panel for for lights & receptacles in storage building; install lighting in shop area.
Owner
Applicant
Contractor
CITY OF FEDERAL WAY *FEDERAL WAY (
NONE
AMAYA ELECTRIC
33530 1ST WAY S
FEDERAL WAY WA
POB 98686
98003-6210
NONE
LAKEWOOD, WA
Electrical Fixtures
Description Quar'tit
Alt. Serv./Feeder up to 200 amps - Co 1
PERMIT EXPIRES June 4, 2001, IF NO WORK IS STARTED.
Permit issued on December 6, 2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use Al be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
^
Owner or agent: Date: Z'2-� ^
Cr r
«SOF c. CONSTRUCTION PERMIT APPLICATION
A_APPLICATION NUMBER: C2 0 - 1 Ogg d 2 -
APPLICATION NUMBER: --
APPLICATION NUMBER: - -
**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.
0 PROPERTY INFORMATION
SITE ADDRESS: ` /3O 0? U -/-A fJ'!J-SESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION /SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 5 /� inc 1' 14 x i .11 <11dI-) S &
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: w �' /DAYTIME PHONE:
l
MAILING ADDRESS (STYtET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
M LI G ADD ADD STA ZIP:
•�''
EVENING PHO
CifY OF FED RAL WAY BUSINE CENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
l
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT -8-60WRACTOR
BUILDING0 DETAILED •• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
,3
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
.DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( 1
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
■ 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 autho z bye owner of the above premises to perform the work for which the permit application is made. I
further agree to hold h I the City of Federal Way as to a claim (including costs, expenses, and attorneys' fees incurred in the
Investigation and defer a of uch claim), which may be made y any person, including the undersigned, and filed against the City of
Federal Way, but only a such claim arises out, a retia ce of the city, including its officers and employees, upon the accuracy
of the information led the city as /part ' OfFe r 1 �n.
AA
❑ PROPERTY OWN00' ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129