01-104401 111114
City of Federal Way
Community Development Services Electrical Permit #:01 - 104401 - 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: KING COUNTY AQUATIC CENTER
Project Address: 650 SW CAMPUS D r Parcel Number: 192104 9051
Project Description: ELE-Electrical work for the installation of a replacement pool water heater.
Owner Applicant Contractor
KING COUNTY(PARKS&RECREATION DI KING COUNTY(PARKS&RECREATION DI HURLEY ENGINEERING CO TAC INC(ELE(
500 A KING COUNTY AD BLD 500 A KING COUNTY AD BLD 302 E 26TH ST
SEATTLE WA SEATTLE WA TACOMA WA 98421
98104 98104 (253)272-9389
Electrical Fixtures
Description -Quantity t Hwu k ''E;sc tQ«oi,., a i Quantity Descrl tion 4.1,040ntity
Circuits- Commercial 1
PERMIT EXPIRES June 15,2002,IF NO WORK IS STARTED.
Permit issued on December 17,2001
I hereby certify that the above information is correcnd 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: Date: /c2/ Q/
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fti (es ri A-L , Se � - Goy �a v�'f-icC 1 � 2'EV
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RECEIVED
F �Qv1 6 Z001 CONSTRUCTION PERMITPPLICATION
$ jiEJEE.rcF1L...
AY APPLICATION NUMBER: c:✓f 4t9t 66- &Z
GiIY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
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.
• PROPERTY INFORMATION
SITE ADDRESS: N,.� 5k L...,:•'%rv. ,L Jr ASSESSOR'S TAX/PARCEL#: `I-Z I vy a - PC./
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): t!-L Y JA equ_W
■ PROJECT INFOr'"'*ON
TYPE OF PROJECT(This application): o B ING PL NG 1. ---- .r . 0 DEMOLITION
LECTRIC NGI 'ING 0 i•'RE PREVENTION SYSTEM
f'
PROJECT DESCRIPTION(Provide etailed de - tion) L.. .,6 A .A a t I�:. 200 1
1
IP
F hh
PROJECT NAME: ✓f,-1-/C / Gam! 1 . / c•T7r- .A ai%1
:Y PEOPLE INFO"MATION
PROPERTY OWNER: AME: .,. • /� �' } ± .�� A'YTIME PHONE:
t 0 r i , 6-C !t ,1,4 l°-ri✓;; c-r ('v ) Z'6 - .i13.4
M G ADDR . R - ••: • ,STATE,ZIP):
�0 :" . 6 < ( Aly,„-cis. AA- qgo/z)
CONTRA R: 6R NAME: v �' DAYTIME PHONE:
GOi � 6'k/S . ^v. Akti i. e 6r .lr (361) ) fib' -/ 369
MAILING ADD•`.•,ISTREETADDRESS;CITY,`9TATE,- ):r' \ *I;, EVENING PHONE
361 .D,u. 4 n �y�.(� (-- 11`5 . 7 9th 3: ( ) -
e.ITY OF FEDERAL W Y BUSNESS • E NUMBER: �F , ,a= FAX NUMBER:
NTRACTOR'S REQS TION NUMBER. - EXPIRATION DATE:
(.0
. 'oc�r-r 0:::(7R-EF. /
spy of card required) _ Q a( U,
y
APPLICANT: NAME -, 14l4A• I,. DAYTIME PHONE
of , f1.51,--,_ t a,,117-i,e s ii,.. pvb ) a3G - 170
MAILIN DDRESS(STRE ADDR 55;CITY,STATE,ZIP): Ell (VENING PHONE:
1R)7) ' TO ROJEC•I:ve � lz/� D L— M•� ', FAX NUMBER
0 ARCHITECT o TENANT r OTHER(DESCRIBE): fOO, 0''14 -T ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION �}
EXISTING USE: .e-e-1-&1/4.41Or\ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ / 52B, -An)
PROPOSED USE: NI PROPOSED VALUATION FOR IMPROVEMENTS: $ 11,1.rii)
SPRINKLERED BUILDING? EYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
•1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT 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
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
1 BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HF,jTTER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) 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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim), ch may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only ere suc I m • is s out of the reliance of the city,including its officers and employees,upon the accuracy
of the information suu /ied to : ci a-a art of this application.
NAME/TITLE: S I 4 F ' DATE: // '44514)
/
o PROPERTY 00 'ER ❑'APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY:'-[,JI
o NEW o ADDITION o ALTERATION b REPAIR' o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING'SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION BASIC PLAN? o YES ' 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO
PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑YES o NO
COMMUNITY DEVELOP MENT SERVICES•33530 FI RST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-66 1-4129