01-101229 City of Federal Way Electrical Permit #:01 - 101229 - 00 - EL
Co�iunity Development Services
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 FED WAY-320TH&SR99 INTERSECTION
Project Address: Cly Inn cites Parcel Number: CITY WIDE
Project Description: EL-Service for new traffic signal.
Owner Applicant Contractor
CITY OF FEDERAL WAY-PUB WKS M T ELECTRIC M T ELECTRIC
33530 FIRST WAY SOUTH 5911 PRESTON FALL CITY RD 5911 PRESTON FALL CITY RD
FEDERAL WAY WA 98003 FALL CITY WA 98024 FALL CITY WA 98024
(425)222-5143
Electrical Fixtures
,;„, Description IQuan y ji.,!'. . .n Quantity E scription 'Quantity
Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES September 25,2001,IF NO WORK IS STARTED.
Permit issued on March 29,2001
I hereby certify that the abo a info 20,i; ,1s'correct a.d that the construction on the above described property and
the occupancy and the use 'l1be) Gordance wit. the laws,rules and regulations of the State of Washington and
the City of Federal Way. /(/
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Owner or agent: L`���f Date: '29
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RECEIVED CONSTRUCTION PERMIT APPLICATION
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- MAR APPLICATION NUMBER: 0 I - L D / 2 22. -4_c
I 2 9 001 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
1 ■ PROPERTY INFORMATION _
+h
SITE ADDRESS: 320+h
2D Ptr-D 99 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BVILDING ■ PLUMB ❑ MECHANI, ❑ DEM ITION
LECTRICA I GINE, NG❑ FIRE PREV ' ION SY' EM
PROJECT DESCRIPTION(Provide detailed description): ' C,• A • 5f" tCx_ F- ' T'RAFF 1C._ S LG.)(IL
S. L .
PROJECT NAME: 3 40-. '0 1446 .
11 PEOi, .E INFORMATION
PROPERTY 0 R: NAME: DAYTIME PHONE:
G i Or DC t, L.JAq / ( )
MAI ADDRESS(STRE *DRESS; STATE,ZIP):
CONTRACTOR: E: 0 ME PHONE:
I •!
**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
i
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: El ELECTRIC El GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) El 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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 'JTP t Cep DATE:
3-Zq- D1
❑ PROPERTY OWNER El APPLICANT L_ ONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION El ALTERATION El REPAIR El TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? El YES El NO
COMP PLAN DESIGNATION BASIC PLAN? El YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES El NO
PLATTED LOT? El YES El NO CHANGE OF USE? ❑ YES El NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129