01-100910 City of Federal Way Electrical Permit #:01 - 100910 - 00 - EL
Community 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: OLYMPIC VIEW ELEMENTARY
Project Address: „3 a 4 4 C d(o`# Ave 5 w Parcel Number: 132103 9008
Project Description: ELE-Replace secondary feeder to main gear.
Owner Applicant Contractor
FEDERAL WAY SCHOOL DIST OLYMPIC VIEW ELEMENTARY SHEPPARD&NELSON ELECTRIC
1066 S 320TH 2626 SW 327TH ST SHEPPARD&NELSON ELECTRIC
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 PO BOX 3630
(206)878-7333
Electrical Fixtures
Description Quantity ':` ',,Description Quantity ,Description Quantity
Alt.Serv./Feed Over 1000 amps-Cor 1
PERMIT EXPIRES September 25,2001,IF NO WORK IS STARTED.
Permit issued on March 29,2001
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: CGe.V__ Date: 3 r O9"c/
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i RR"'- - CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: a(_ - / 0 0 C// 0 -E L.
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.I. 4 (_;; , L.,.., _itAL Vy,HY APPLICATION NUMBER: - -
BUILDING DEPT.
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**The following is required information—Please print(in ink)or type**
IPlease note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
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J/ • ■ PROPERTY INFORMATION
SITE ADDRESS: QC V O)/(/p 3 ell \'/' / ASSESSOR'S TAX/PARCEL #: (3 2-40 3 - ?o a J7
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1
4111111
!• ■ PRO]EC1 `NFORKt.'TON
TYPE OF PROJECT(This application): CIBUILDI CIPL ING" MECHANIC' ❑ DEMOLITION
T.; ECTRIC' ❑ ENGINEERING❑ 'E PREV TION SYSTEM
PROJECT DESCRIPTION (Provide de iled .• 'tio
Re-- {J/2-+ ZvC— / /j sFe4C/7, - ,A,/ .>1/�,c—(C
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PROJECT . E: r ik T ` ' S, . j2c :4-77(...&J •-0G c1//tic. 4 c i'--) i2t y"
PEOPLE INFORMATION
PRO RTY OWNER: 'NAME: ` DAYTIME PHONE: 1
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MAILING ADS S(STREET AI`..• S;CITY,STATE,ZIP):
/��� j�J *S- �iT f- - 7.(fc -
CONTRA ' NAME: i DAYTIME PHONE:
MAILING ADDRESS(STREET ADD S;CITY,STA IP): EVENING PHONE:
CITY OF FEDERAL WAY BU NESS LIC E NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRA N NU EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
A.64G4S C'',-/�- -S7-&: , - 7,Qc _y (_?v� (2>3)1 -067
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
4 c ( 5 �„.i ,' 1 G 5. 3 c -r-S 2 / l'j v/C I ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
CI ARCHITECT 1117J
TENANT "OTHER(DESCRIBE):•EO(itJL (2-4v ) '3 - C75 2-6
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑ APPLICANT ❑ 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: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
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NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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■ 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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city asa, rt of this application.
IOq
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NAME/TITLE: ( DATE: J 'I
❑ PROPERTY OWNERPPLICANT ❑ 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
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129