01-101680 City of Federal Way
Community Development Services FAectr`ical Permit #:01 - 101680 - 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-PARKS
Project Address: 3t'30- MS a y s 3 Qik\ t— Parcel Number: 092104 9026
Project Description: EL-Install transfer switch and associated wiring,and 50-amp receptacle for wire feed welder.
Owner Applicant Contractor
CITY OF FEDERAL WAY PARKS AMAYA ELECTRIC AMAYA ELECTRIC
33530 FIRST WAY S POB 98686 POB 98686 - • -
FEDERAL WAY WA 98003 LAKEWOOD,WA LAKEWOOD,WA
98498-0686 (253)582-8566
Electrical Fixtures
,.p.rWi lI) XPi Quantity >z3' }.. r. x v `®n Quantlt�/ Description Quantity
Alt.Serv./Feeder up to 200maienA =::>I::<::>: ''•' .. :::«::<:»:=;::
MERINENNIM
:iki
;s:�'";: :::PERNT ; '21,f 2001,IF NO WORK IS STARTED.
tiV............................... :.:.:.:.
ARtl3Ssit fII gramen MM.
1.<::::. ;, ';.•'i:y otji: aw::.::` ..;. ;S :},•.'•,+x
I hereby certify that th .e:# tau is:cor> :: : t const o id .ed _ `„ >::
_S, : "•=ii-%';;?:::,•;�::: ,+en.,.,'., .:;`:fit;:+;4x:•:'.::: r: R;s;:r. ^ .{.:•::
the occupancy and.***:i,:°.;1 m;accc ia}fce to aWs lues ant a atlotts alt tate"'t:: : gtoi n >:...,.::.am..p..midammiN gaingleindi Nos 1.! :::::::._::
the Cl of Federalcv ' "'
Owner or agent: <:«. .. .4"/":"(::--:;<u-:, ::: Date: 6/- — 6.)
?-}5
• C •
S'-
•
RECEIVED
Cad? G CONSTRUCTION PERMIT APPLICATION
N EOF L APPLICATION NUMBER: �j L - L CC 2 C-1 - �
�� FRY APR 3 ® �Qli1 - � (
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.
J • PROPERTY INFORMATION
SITE ADDRESS: 3 1.\J.,n (Q? ) N 4 v SO ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
-ELECTRICAL ❑ ENGINEER G❑ F NTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): __,.4-)5 I .S 1 h 4 SSOC, I id
w-,it, _. 5 i I 6-6. ,e; , /2P c - /a 4, Lkii , !J tJel c
PROJECT NAME: likti.‘
■ 'Ow a INFO_MATIL
PROPERTY OWNER: 'ti : - DAYTIME PHONE:
MAIL ADDRES ( ADORE`° `i E,ZIP):- � � i
31130 ,"Y ' . . , Cf'1Gillfy/ id . .p3
CONTRACTOR NAME:, IN •YTIME PHONE:
ayG �" �C_ )S8z -8s /
MAI IN, DDRESS T ADDRL. ,STA ', IP): EV' 'G PHONE:
' . / ' /6y ��- s, J �oo, r,, 'y9( - i
C • FED RAL WAY BUSINESS LICENS` UMBER: FAX NUMBER:
— — — — — — ( )
CONTRA 'R'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of car. .uired) — — — — _ — / /
APPLICANT: NAME: DAYTIME PHONE:
I S • / (2.5 )sV �s
a- C
• MAI DDRESS(STREET ADDRESS;C – , IP): EVENING PHONE:
/1.s /Z� 4 A-v� s , 'I()l‘' �j - gr 1c56o )75-6/-/5237
RELATIONSHIP TO PROJECT: / FAX NUMBER:
❑ ARCHITECT ❑ TENANT �r R(DESCRIBE): gIe_42.-41/iC. G V\ ( ) - ,
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT gheONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: _- PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES CINO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES CINO
WATER SERVICE PROVIDER: CILAKEHAVEN ❑ HIGHLINE ❑ TACOMA CIPRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PROTECT 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 kf such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only w le such claim arises out oft e reliance of the city,including its officers and employees,upon the accuracy
of the information suppi'-. to the city as a part of thi application. �l
NAME/TITLE: \ (/ J DATE: v — 1
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI INTTY fFVFLOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129