03-103283City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -103283 - 00 - ME
Inspection request line: 253.835.3050
Project Name: CELEBRATION PARK APARTMENTS
Project Address: 3201711TIL6 F1 S WJ9 6
Project Description: Install vent fans in bathrooms for Units 1, 3, 6 and 8.
Parcel Number: 172104 9061
Owner
Applicant
Contractor
EVERGREEN VILLAGE ASSOCIA
INTEGRITY ELECTRIC INC
INTEGRITY ELECTRIC INC
1750 DEXTER AVE N
4501 KENNEDY RD NE
4501 KENNEDY RD NE
SEATTLE WA
TACOMA, WA
TACOMA, WA
98109-3021
98422
1 (253) 943-0500
Mechanical Valuation..........................................480
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES February 8, 2004.
Permit issued on August 12, 2003
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. G
Owner or agent:40;- Date: (f:)O —/07- '-03
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RECEI( 0 CONSTRUCTION PERMIT APPLICATION
CITY OF �./ PPLICATION NUMBER: (2 3 - L [� -
Federal Way AUG 1 2 2003 PPLICATION NUMBER:
CITY OF FEDERAL WAY PLICATION NUMBER:
BUILDING DFfP�'
**The following is required In o m,tion — Please print (in ink) or type*'
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS:.? 7yG - D �o L
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSSTEEM.�.
PROJECT DESCRIPTION (Provide detailed description):
I
CONTACT PERSON FOR THIS PROJECT: C1 PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
DETAILED BUILDING IN FORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $7 00
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT NAME: C C
PEOPLE• •
PROPERTY OWNER: NAME-
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; DAYTIME PHONE-
MAILING AADDDRESEET AD SS; CRY, STATE,XIP):
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CONTRACTOR:
NAME:
DAYTIME PHONE:
j MAILING ADDRESS ( ADD
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STATE. ): EVENING PHONE: I
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CITY OF FEDERAL WAY BUSINESS LICENSE
NUMBER:
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00- FAX NUMBER:
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CONTRACrOR'S REGISTRATION NUMBER:
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APPLICANT:
NAME:
i DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
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RELATIONSHIP TO PRO)ECT:
o ARCHITECT ❑ TENANT
❑ OTHER ( DESCRIBE):
i FAX NUMBER:
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E-MAIL ADDRESS: —�
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CONTACT PERSON FOR THIS PROJECT: C1 PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
DETAILED BUILDING IN FORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $7 00
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
FIRST
SUMP(S)
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)JFN
PORATWE COOLER(S) _
BBQ(S) � (S) _
BOILERS) EPLACEINSERT(S) _
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHER(S)
RAIN WATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
INTERCEPTORS)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. (
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( 1
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,0e reliance of the city, including its officers and employees, upon the accuracy
of the informaAsuppIrledth as a pa of application.
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NAME/TITLE: DATE:❑ PROPERTY OPLI T VCONTRACrOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvoffederalway.com