01-100773 City of Federal Way
Community Development Services Electrical Permit #:01 - 100773 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661 4129
(3:30pm cut-off for next day inspections)
Project Name: FEDERAL WAY PARK&RIDE#2
Project Address: 34220 21ST SSV AVL SW Parcel Number: 242103 9008
Project Description: EL-Install electrical service for new comfort station.
Owner Applicant Contractor
STATE OF WASHINGTON KING COUNTY METRO - KING COUNTY METRO
201 S JACKSON ST 201 S JACKSON ST
MS/KSC-TR-0431 MS/KSC-TR-0431
SEATTLE WA 98104-3856 (206)684-1333
Electrical Fixtures
Description Quantity -=Description „ Quantity Description Quantity
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES August 22,2001,IF NO WORK IS STARTED.
Permit issued on February 23,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use . 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: e Date: /C''y
7-74T -
c"f - CONSTRUCTION PERMIT APPLICATION
N>.\> — APPLICATION NUMBER: 0 L - I O 0 -7 7 -' j.-
APPLICATION NUMBER: - -
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: 3 41 -2,251.02D 2 ST JASSESSOR'S TAX/PARCEL #: 141 Z ) 0 3 - G b 8
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION I` •
\ Co ' ,. •-• Cc" 5 1.. 5 4 . Iiik(ma
S TAT l 0N kr- (4 Ki< t- KI to E.
■ PRO]ECT In 'ORMATION
TYPE OF PROJECT(This application): ❑ BUILDI. ❑ PLU NG ❑ MECHANI 6. ❑ ' MOLITION
❑ ELE ❑ ENGIN •ING❑ FIRE PREVE 0 YSTEM
PROJECT DESCRIPTION(Provide detailed des • ion
T- CEJ e— 1,2.L #
PROJECT NA \- k
■ PEOt-_-INFORMATION
PROP 4 . F: DA E PHONE:
AILING ADDRESS STREET AD. •S;C ATE,ZIP): I
7----2-- Si,
CONTRACTOR: NAME: DAYTIME PHONE: I
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-
OF FEDERAL WAY BUSINESS LICENSE NUMB ' F(AX NUMBER:)
CON OR'S REGISTRATION NUMBE• - EXPIRATION DATE:
(copy of card required) _ _ _ _ _ _ _ _ I / I
l APPLICANT' NAME: y DAYTIME�ONE: �� I
5 ,t /1:1$ GZicr.a 265 c:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 9`)� �s 4J EVENING PHONE:
2-7� 5 4TN ,40E-__ JO . *&i7 € �-t/i� / ( )
RELATIONSHIP TO PROJECT: r FAX NUMBER: �� , t/i
❑ ARCHITECT ElTENANT ❑ OTHER(DESCRIBE): (2P(p) 2c - gj0y 7l
I E-MAIL ADDRESS: iEl
pOCONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ElAPPLICANT ❑ CONTRACTOR 57 /'/, A e Kc ,
v
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: Ii ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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
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 El 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 pplied to the city as a part of this application.
/ �
NAME/TITLE:' `�� C�1 C‘'S- /G�:// DATE: 2/2— 3/249b1
❑ PROPERTY OWNER APPLICANT ElCONTRACTOR
FOR OFFICE USE ONLY:
El NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? El YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES El NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? El YES ❑ NO CHANGE OF USE? El YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129