08-105788nct-cAGn RECEIVED a
R DEC 0 5 2008
CRY Of /� V t7 ooV 0— �`Jy�/ i D
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Federal way 2 PE "EDERAL WAY
COMMUNITY DEVELOPMENT SERVICES CDS SF MF CO ME,9 PL DE EN FP
33325 gm 98009718 eiTY OF FED�t7� 1 ` T('�AT10N
FEDERAL WAY, WA 98063 -9718 DF�1 r 1�1 v
253 - 835 -2607• FAX 253- 835 -2609 C /
www.cl�(federalwatixom
The following is required in ormation - an incomplete application will not be accepted. Please print legibly (tin ink) or type.
PROPERTY •• •
SITE ADDRESS 7 6 s `'j cAA,\ PQ S iD 2 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # I 'A d _ - 7 V U LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Attach separate pagefor leajthy legal cl— ripaoN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
i c�c7
Ay AP r=c z s; 2.lE�ft�
PROJECT NAME (Name of Business or Owner Last Namel _
PROPERTY
NAME
PRIMARY PHONE
TOTEf,n E (.0 L-T)Q .i c_
OWNER
C j T `( C� t' f= L-i )c 2 - 4 t, 1 y
( ) -
CnY, STATE, ZIP
CELL PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E- MAILADDRESS
CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEf,n E (.0 L-T)Q .i c_
ETA T, ZIP
(a '53) 3 3 3 -150D s
MAILING ADDRESS
CnY, STATE, ZIP
CELL PHONE
CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
)�+ -`i - &00,730 ca t ES A-
(3S3 K2,7 - S a(L(
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E- MAILADDRESS
L >001
I
COMP NAME
NAME
OFFICE PHONE
MAIL ADDRESS
ETA T, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender iq ormation is required t'project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
o NO
NEW ADDRESS REQUIRED? o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT? o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MartNG
PROPOSan
TOTAL
TOTALlMMO sP
Torec PnoPOSM sP
TOTAL Sr
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commemtd
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (Toilet)
SINKS
WASHING MACHINES
SUMPS
o YES o NO
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the irtformation submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the irtformation supplied to
the city as a part of this application.
SIGNATURE:
Owner and /or Authorized
I -9-off
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 -January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application
M cm or RECEIV) �� � � ZU(D
Federal Way PERMIT
COMMUMTYDEVELOPMENT SERVICES
3332FEDERAENUE SOA 9&)63 94}I�fAB O F F E D E RA P�, LI C ATI O N
FEDERAL WAY, WA 98063 -9
253 - 835- 2607• FAX 253- 835 -2609 CDS
wwu,xftwffederalwau. com
The following is required information - an incomplete application will not be
SITE ADDRESS-700 500 Ca wv P GL S Gj b r) vc
ASSESSOR'S TAX /PARCEL # -t- 1 % X V f M- ! d O l
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descrtptioN
_ l 6 -7
SF MF CO M EL PL DE EN FP
TD
Please print legibly (in ink) or type.
1
LOT SIZE (sf fl
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION k ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
l Uc, A-/ti tO Fop-
PROJECT NAME (Name of Business or Owner Last Namel caW y CI s cre
PEOPLE INFORMATION
PROPERTY
NAME PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
E Lc
MAILING ADDRESS
CELL PHONE
CITY, STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
E Lc
CITY, STATE, ZIP
CELL PHONE
MAILING
G ADDRESS
P.a .t30r< %(3 3
CY, STATE, ZIP
T
"i- Ac,oN.A wAgNo (
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
10 G-7 3 0 --0v . -iiV
(3S3) -)-7 �)- -5
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
iCjti�r�lt! 3%
G- 30 -L;o
COM CW
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
• HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
CHANGE OF USE?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
❑ YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
=RTINO
rEOrOSED
TOTAL
TMALEXISTNOSr
TOTAL. MWO"O Sr
TOTAL Sr
" *NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commemtal)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS for Tub /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS (Toilet)
SINKS WASHING MACHINES
SUMPS
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert}fy that to the best 4f my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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 clairW, which may be made by any person, including the undersigned, and filed against the city, 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.
SIGNATURE: _ _ _ W� Gam^ /Cn/ DATE t y
Prooerty Owner and /or Authorized Agent
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2008
Page 2 of 4
MandoutsTermit Application
EY rica1
• City of Federal Way
Community Development Services PerINt J�j
#: 08-105788-00-EL
P.O.Box 9718
1. Federal Way,WA 98063-9718 p$ t .� Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: CAMPUS CREST STREET LIGHTING-A
Project Address: 700 SW CAMPUS DR Parcel Number: 192104 9008
Project Description: Installation of 100-amp service for developer required street lighting. Located in ROW
immediately south of proposed Lot 11.
Owner Applicant Contractor
CAMPUS CREST PROPERTIES L TOTEM ELECTRIC OF TACOMA INC TOTEM ELECTRIC OF TACOMA INC
6902 FORD DR N PO BOX 1093 TOTEMET315BS(9/30/09)
• GIG HARBOR WA 98335-6453 TACOMA WA 98401 PO BOX 1093
TACOMA WA 98401
•
� z>. .,ma c 414' 4 , w. v..<
Service greater than 1000 Amps? No
1HIELr a
New Service/Feeder: 0- 100 amps I
PERMIT EXPIRES Saturday, December 5, 2009
Permit Issued on Friday, December 5, 2008
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: `-711 <_...._ Date: / d - `� C d
•
. • a •
DATE INSPECTOR AREA AND TYPE OF IiNsPECTION
i2 ' 8 c 2 �iit/C l a c r— s kV. e)/--pc,4
/Z �i��v�.ma, 11 dr2r AVE' 8
THIS CARD IS TO MAIN ON-SITE
CITY OF kommunity Development Inspection Record
Way :
Federal Wa IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT #: 08-105788-00-EL •
Owner: CAMPUS CREST PROPERTIES L
Address: 700 SW CAMPUS DR
FEDERAL WAY, WA
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
•
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By n Date 9_ (_1,
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By. Date By Date By Date
❑ Final-Electrical(4055)
Approved
Date 1- I z-,
•
•
For inspector reference only _
O Rough Electrical ❑ • FINAL-Electrical
Approved Approved •
By Date By Date