01-103213 City unity Development Services Federal Way
Community Electrical Permit #:01 - 103213 - 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: AT&T WIRELESS @ AQUATIC CENTER
Project Address: 650 SW CAMPUS 1)r Parcel Number: 192104 9003
Project Description: ELE-200 amp service for new cell facility on BPA tower
Owner Applicant Contractor
CITY OF FEDERAL WAY AT&T WIRELESS SERVICES *ROD HAI VALLEY ELECTRIC CO OF MT VERN
33530 1ST WAYS 617 EASTLAKE AVENUE E VALLEY ELECTRIC CO OF MT VERN
FEDERAL WAY WA SEATTLE WA 98109 3001 OLD HWY 99 S
98003-6210 (425)483-6869
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES February 11,2002,IF NO WORK IS STARTED.
Permit issued on August 15,2001
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 accor.: ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: (2 /
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�.)e _ CONSTRUCTION PERMIT APPLICATION
\>\> FEY APPLICATION KAR - y 3 �� APPLICATION NUMBER: � - • ...Z - et.
APPLICATION NUMBER: -
P J6 1 5 2gtr APPLICATION NUMBER: -
**The followi,`ng isteq_uired:ir9fb*f 'tion—Please print(in ink)or type**
8UILDiN(3 DEPT.
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION .
SITE ADDRESS: IOC CLAD 1.44 P(A4 1)(('E'ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION • - ' '
TYPE OF PROJECT(This application): ❑ BUILDING El PLUMBING ❑ MECHANICAL ❑DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
•
PROJECT DESCRIPTION(Prqvide d tailed description):^
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PROJECT NAME:
■ PEOPLr IF ORMAT ON
PROPERTY OWNER: NADAYTIME*ONE:
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MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
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CONTRACTOR: NAME: DAMME PHONE:
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MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2r' '4 26 SE— MLt .)a 93021 0-04 ) qSZ-$237 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( )
CONTRACTOR'S REGISTRATION NUMBER: ` EXPIRATION DATE:
(copy of card required) ,11 /��'1 ! _1 k
APPLICANT: NAME: DAYTIME PHONE:
( )
Mli1LING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT El OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR
- - ■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE El PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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)
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) 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 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 of
Federal Way,but only where such cla- arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information s ied to the as a part of this application. ,
���� DATE: I Q
NAME/TITLE�� �" `� V----------
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❑ PROPERTY OWNER ❑ APPLICANT J'1 CONTRACTOR
FOR OFFICE USE ONLY:
El NEW ❑ ADDITION El ALTERATION El REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? El YES El NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES El NO