03-105477 City or Federal Way
Community Development Services Electrical Permit #:03 - 105477 - 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: CITY OF FEDERAL WAY PIPE SHED
Project Address: 2410 S 312TH`64-- Parcel Number: 092104 9026
Project Description: Installing new 200 amp u/g service for new 30'X32' pole building on property north of existing woodshop
building. Site location: Steel Lake Park
Owner Applicant Contractor
CITY OF FEDERAL WAY-PARKS*KURT R AMAYA ELECTRIC AMAYA ELECTRIC
33530 1ST WAYS 2519 104TH ST.CTS 2519 104TH ST.CT S
FEDERAL WAY WA 98003-6210 LAKEWOOD WA 98499-8741 LAKEWOOD WA 98499-8741
(253)582-8566
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES June 15,2004.
Permit issued on December 18,2003
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 and
the City of Federal Way. /}�
Owner or agent: Z'�JL t4-f' Date: /...2//7/ 1
-
CNSTRUCTION PERMIT APPLICATION
CITY OF � er OC
NUMBER: 10.5(1 1 =aj
Federal Way DAPPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
1 & 2003APPLICATION NUMBER: - -
C'Ty op adA ,kr��jred information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- _ ■ PROPERTY INFORMATION
-ITE ADDRESS: _2—q±D�,iJ m1- ^ _ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
rkELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEMn',
PROJECT DESCRIPTION(Provide detailed description): � fl .,ur�co-v.h.o� SMI\�—
I
PROJECT NAME: c.k1
i
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Of, cexc ( !! ) vac -4H'�
MAIU G ADD (STREET ADDRESS;CIfY,STATE,ZIP): ')C�
3 �Q ,��} We S t— �Xc�l ( �1�D(D �%
CONTRACTOR: NAME: DAYTIME PHONE:
A-V&O L a 2cf�-r)CJ 053 ) 5 - `rO la
MABA'G ADDRESS 1(�I-REET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE:
,1'C). •? b )( aa'(;Slo ' ( ) 5 Co fp
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
.ia - vo Loi. 740a0a.(EX5 ) Sa - 2-I
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card requed) C.;-CA)1 k yc 4_;_ii- -)kc2.---7/4 !3 dal 11-F / OS j
APPLICANT: I NAME: i DAYTIME PHONE:
MAILING AD RESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� (
I
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANT kOTHER ( DESCRIBE): ( ) -
I �
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
,.,:,1
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. ■ PRO)ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 authorized by the owner of the above premises to perform the work for which the permit application Is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information supplied to the city
/a ns a part of this application.�y� �7
NAME/TITLE: $"jt •,j1,C/i1n;Qt /►I DATE: f (d"/J 6 3
❑ PROPERTY OWNER o APPLICANT CONTRACTOR
FOR OFFICE USE ONLY: :•
;-
`y . --❑TENANTYIMPROVEMENT 7
D'NEW �,:'_,�.,.0 ADDITION [)ALTERATION �_. ❑ REPAIR
CENSUS CODE: :" . -.•. :': -LOT SIZE:--1..•
:ZONING DESIGNATION_:_. :
.,.._�;...- BUILDING SHELL ONLY?.`,L7 YES .:o NO ' ' •'
COMP PLAN DESIGNATION :BASIC PLAN?.-•' o YES ❑"NO
SECTION•• TOWNSHIP RANGE - NEW ADDRESS REQUIRED? ❑YES" a NO
PLATTEDLOT?.'<`❑YES o'NO •-•-•`•!?" CHANGE OF USE? ❑YES `Ii NO ., -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvoffederalway,com