03-102234 City of Federal Way
Community Development Services Electrical Permit #:03 - 102234 - 00 - EL
33530 1st Way S -
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BOYS AND GIRLS CLUB
Project Address: 30815 8TH S AVZS Parcel Number: 082104 9058
Project Description: Extending 3 circuits for bathroom remodel
Owner Applicant Contractor
BOYS CLUBS OF SEATTLE ACTIVE ENGINEERING ACTIVE ENGINEERING
107 CHERRY ST 5016 208TH ST SW 5016 208TH ST SW
SEATTLE WA LYNNWOOD WA 98036 LYNNWOOD WA 98036
98104-2223 (425)776-8119
Electrical Fixtures
VW
Circuits- Commercial 3
PERMIT EXPIRES November 29,2003.
Permit issued on June 2,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the ull be in accordance with e laws,rules and regulations of the State of Washington and
the City of Federa.Way. i
Owner or agent: Date:
d
( n
fp') ()/ z n„, v e„.2_ lc, a,61•
May-30-03 01 :48P Active Engineering 425-775-1960 P . 01
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RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: .D3 ..�D 3L
Federal Way MAY 3 0 2003 APPLYGITION NUMBER:: _ _ - __
APPLICATION NUMBER:.
*ATAI jUIg�Av
Iiillormatlon-Please Penn`(in ink)or types* 16
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate apPllcation.
((�� • PROPERTY �trNrow%1ACIUN
4+ I`i
SITE ADDRESS: .30/. `s � ,re. ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): —
• PROJECT INFORMATION
TYPE OF PROJECT(This application); a BUILDING u PLUMBING a MECHANICAL G DEMouTION
AELECTRICAI. O ENGINEERING .-I FIRE PREVENTION SYSTEM
PROJE SCRIPTION(Provide detailed desai ):-.e. •--- r / t _ .
I
PROJECT NAMES �eLte_A ct( Dr-)4.5 1'- (at(is C/U&
RI I'ROJCCT INFORMATION
PROPERTY OWNER: NAM ` a `/A ?i/J //� /J' DAYTIME PONE: .
MAILING ADDRESS(SIREECA ' Y STA TIP): � � `I(Y/�._ C A} � ( )
CONTRACTOR: N E: ' fD� MEiFiQ
/� I`'`�•
Ili �s����� �a a/ r„" l r S/' 4�1
MA- MD. SS(5* TADDRESS;QTY,STATE.IIP):
i �__��--i � � (� EVENMGP`NpNE:
I FEagAlWAY . '�� L 1 , ..,` ._� ,„I it:mer'LE , ,I) i 1 ( /
a �fCENSE NUMBER' FAX Ni,1MCIER:
CANTRACCORSREG757gAT10N - '`L. ""
(4Pr of ars ri�WrG) �J V_e * 0.2-23 I I l D - EXOIRA"TI•/O7N i 7E:!/�0gy / ��
APPLICAT; 411 .T�.� -
DAYTIME PHONE:
•SAop `
h— , % U 1 - / ' - I (4LS-1,,-72� -Qt.1q
1
MAI ADDRESS(STRCR i-'V\CM, If 2W): ,- �' --• .. ._ .
EVENING FMONE;
�� .-., S S. 1A-). CA,I i f i tADo ri C ) -
N;LATIONSNIP TO PROJECT:
FAX NUMUFR
LI ARCHITECT a TENANT r OTHER(DESCRIBE): (1,125 )775 - 19(,C)0
E-MAIL ADORES$:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER I APP ICANT n CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: - -- PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES 0 NO
WATER SERVICE PROVIDER; 0 LAKENAVEN ❑ HIGHLINE n TACOMA q PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN n HIGHLINE a PRIVATE(SEPTIC)
May-30-03 01 :48PAct.ive Engineering 425-775- 1960 P . 03
--
L.1 t Y rlIDP.K.ALwAY Z002
.
1 "
**NEW RESIDENTIAL CONSTRUCTION ONLY** -- -
NUMBER OF BEDROOMS: , __ ESTIMATED SELLING PRICE: 5
J
II PROJECT' FLOOR AREAS
FLOOREXISTING SQ.FT PROPOSED N.FT. TOTAL
BASEMENT T — -
FIRS?
SECOND +--- _
THIRD --
FOURTH _ _.. ...
OTHER FLOORS(NlESCRIBE) ----
DECK .
GARAGE ~—�.
_HOW MANY FLOORS?
TOTAL:
IIIIMIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIEIIEMZMIIIIIIIIIIIIIIIIIIIIIIIIIIIIMNE
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
SOILER(S) FIREPLACE INSERT(S) - RANOGD£S) M—MISCO STOVE(S)
COMPRESSORS) RJRNACE(s) )
— •— DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE; u ELECTRIC a GAS
NUMBING
�--► BATNTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) a ELECTRIC O GAS
_ DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTOR(S) St/MP(S) )
■ Disci AIr.1LR/SIGNATI)RL t!h.00K
I certify under penalty of perjury that the information furnished by me is true and correct to the best a my knowledge,and
further,that I ant authorised by the owner of the above premises to perform the work far which the permit application Is made. I
further agree to hold Nannies,the City of Federal Way as to any claim(Including coats,,expenses,and attorneys'fees incurred In the
investigation and defense of such claim),which may be made by Luny person,including the undersigned,and filed against the City of
Federal Way,but only where such calm arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informatkorsrptied to the dty as a part of this application. -
wAMe/YTrLtL _ ": 1... srz E�w ✓ 7 DATE: C 3
n PROPERTY OWNER KAPPLICANT k CONTRACTOR
•FOR OFFICI•I $E ONLY• ~I
•o.N.t:1N•'"• • o ADDITION a ALTERATION L1:REPAIR• o TENANT IMPROVEMENT
CENSUS CODE: •• LOT SIZE:
.
_DGNAT�ION: ..BUILDING SHELL h.N)Y?. o YES.
----- o:NO
COMP PLAN DeisiSrOiltom
•
BASit PIAN?. .•,: i VT.C.• d NO
ION. . '1"d)N HIS . . RANGE - NEW ADDRESS REQUIRED, ' o YES• a NO
PLATTE Lp'T? o YES . xi P40 CHANGE OF USE?.. ' a YES a NtO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 971$•FEDERAL.WAY,WA 990639718•753-661-4000•FAX:253-661-4129
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