08-105600 4110 City of Federal Way • (�Plumbi
Community Development Services Permit #: 08-1 05600-00-1Dng
L
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: CAMPUS GROVE APARTMENTS BUILDING 1
Project Address: 1300 SW CAMPUS DR Bldg 1 Parcel Number: 192104 9006
Project Description: Replace electric hot water tank, replace approximately 60 If of PVC water piping.
Owner Applicant Contractor
CAMPUS GROVE LLC&BORN L WESTERN EXTERIOR SERVICES WESTERN EXTERIOR SERVICES
BOW WA 1806 MARINE DR NE WESTEES027CF(1/10/09)
98232-0178 MARYSVILLE WA 98271 1806 MARINE DR NE
MARYSVILLE WA 98271
Plumbing•F tures
Drains 1 Water Heaters 1
PERMIT EXPIRES Tuesday, May 19, 2009
Permit Issued on Thursday, November 20, 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: ` `.- :. Date:
/ -
flsM1u
THIS CARD IS TO RF AIN ON-SITE
CITY OF PommunitY p Inspection Develo mei t Ins Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105600-00-PL
Owner:
Address: 1300 SW CAMPUS DR Bldg 1
•
FEDERAL WAY, WA 98023
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.
•
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By(jam Date , ._ By Date
0 Final-Plumbing(4075)
Approved
By % ate //L I0 •
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
411Y
0
wyM - 1 � sLQ b_e a .
COMMUNHY DEVELOPMENT SERVICES `I 29718 PERMIT SF MF CO ME EL; ' DE EN FP
33325 8^f AVENUE SOUTH•PO BOX 971t�0 y 0 2008
253-835-2607.FEDERAL WAY,WA AX 253-885 26 9 PPLICATION TD
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www.cittoffedemiwp.cel FEDERAL
FWAN'
via J
The following is required it€t Dation—an incomplete application will not be accepted. Please print legibly(in ink)or type.
/�
• PROPERTY INFORMATION
SITE ADDRESS_ 1 3 6D 9 W Ce-644-toVj L)v `O Cy
a SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# ,_- __ __ LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy lagot description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
0 .y; t".‘ '1. beCt . t‘.4. ' = ;, 1 1' .4. c 16, ,. .a., ,
z?c.
i `1 5 ha * o . va(,1::s . (� i a t y i i,I, b iir", I2.
PROJECT NAME(Name of Business or Owner Last Name) 1.am tics or v e- 44
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• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
0.
OWNER C ^wl US Cvil• 330L l.. 1.0 313OVwt, l' ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
r&r,w N 4- 13 OW 'Lk)"" gis23Z
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
U.,,,^p j�@;Pit 1.v1-e.. . n.S S eiurGe ( ) -
MA _
mAnao ADDRESS CITY,STATE,ZIP CELL PHONE
1 % IVB G .tA'v;�i.A.I Dr Al ;`uctA)y1 AL, tLIi ` Fs271 ( ) -
V CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER / s EXPIRATION DATE FAX NUMBER
CONTRATOR REGIeTRATION NUMBER TIDE DATE E-MAIL ADDRESS
W +e,I=S o2]' t.c' /ro /q
APPLICANTCOMNAME APPLICANT NAME OFFICE PHONE
V COMPANY Nam
1u^%'S^c.IsL 1/f'et I GL i 5 LG
v k EeC ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( °G6 ka.,,, at Aith MAe`ny` '�y,�;ttt, - , ?L7/ ( ) -
RELATIONSHIP TO PROTECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT
RIA...-ky 5"tv g.. 1 1 (1.<'41.510 - '1(2 ( 4 Stye w 0 b,44 C,C44%vet''
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.- PHONE
( ) _
/""""--'--
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• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUEVALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
1
R PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD _ --
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) __><-':
GARAGE 0 CARPORT 0
ffiSTISO PROPOSED TOTAL TOTAL EXISTING Sl TOTAL PROPOSED sl TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
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$2_Lt OCi (' (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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING pf e
BATHTUBS(or7ub/shower combo) LAVS(Bathroom smite) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS Z S( ,,„, VteliksJ
DRINKING FOUNTAINS SHOWERS WATER CLOSETS traeq {�
f ELECTRIC WATER HEATERS SINKS WASHING MACHINES '7 l'illuec FO-y C I N e
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I ant 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. plication. /
DATE Gi/- 2.C,/
SIGNATURE: (((
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts'iPermit Application