15-105050 •
• Electrical
City of Federal Way Services
Community&Ecoco n Permit #: 15-105050-00-EL
.Dev.
33325 8th Ave S
Federal way,Fax 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2609 ec
p q
Project Name: GLEN PARK APARTMENTS-SPORTS CENTER
Project Address: 952 SW CAMPUS DR Parcel Number: 192104 9047
Project Description: Replace thermostats(as needed)for associated air handling unit install
Owner Applicant Contractor
FAIRFIELD GLEN PARK LLC ALL CLIMATE HEATING&A/C(GENERAL) ALL CLIMATE HEATING&A/C
5510 MOREHOUSE DR UNIT 200 17527 NE 67TH CT (ELECTRICAL)
SAN DIEGO CA 92121 REDMOND WA 98052 ALLCLCI933N7(8/27/17)
17527 NE 67TH CT
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Thermostat. 2
PERMIT EXPIRES Saturday, April 2, 2016
Permit Issued on Monday, October 5, 2015
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: C _ c)..�°�i+lj� Date: 5 oe-7
i ,TICS CARD IS TO REAW�N ON-SITE
CITY on Construction InsppeWion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105050-00-EL Address: 952 SW CAMPUS DR
Project: FAIRFIELD GLEN PARK LLC FEDERAL WAY, WA 98023-5056
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.
o UFER Ground(4295) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) '❑ • Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
• .
o Final-Electrical(4055)
Approved
By - Date
•
El Rough Electrical Final Electrical g Ri ht of Wa y
Approved Approved Approved
By Date By Date By Date
CITY OF LECTRICAL
Federal Way PERMITE AT6ICATION
5_ 10 5050 OCT 05 2015
PERMIT NUMBER ` _
CITY OF FEDERAL WAY
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: p� C,RA' Q*b VA'q-\e-v3\y +n'C a•
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ �- ra cc - 9 CD m 5
PROJECT NAME
(Tenant or Homeowner Last Name) G\-Es- @ f>cc-\<-
CWN ova ctict- 'c>vc-i∎k.i'c\ _
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ��>�c t ��-' pc Q-\+., ►��C - ( ) -
MAILING ADDRESS E-MAIL
55 14;-. rnoQ VvZ v.�� Vic- v v v a.00
CITY STATE ZIP FAX
Sa�a•11: 00
NAME PRIMARY PHONE
\� rINt»i. N, ��>A.Nclir2> P)G \K\c. - ( ya5) b-
MAILING ADDRESS E-MAIL
ELECTRICAL c v Co..of w■\c\r -
CONTRACTOR CITY STATE ZIP FAX
SX .a c,S1 *IA 'zibD (1>s) Bey- - l s
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C\\\U- V\ ko\O LCD 1a / b 'atet $1a"4‘o`1l000 ®a.
NAME PRIMARY PHONE
APPLICANT Fv��� ) ?yb ��
- 20
MAILING ADDRESS E-MAIL
5 IN `A-4-sakQ .rte
CITY STATE ZIP FAX
S(1-c-42._ (MaS ) Bbd - 1 5 5
NAME PRIMARY PHONE
PROJECT CONTACT ( yaS) Tito - la;
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 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 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
information supplied to the city as a part of this application.
gyp\ c
SIGNATURE: d DATE 5 oc.T" 5
PRINT NAME: C-:CM--41"C\ 7-4 \` \
Bulletin#160-January 1,2013 Page 1 of 2 k:\HandoutsTlectrical Permit Application