04-100502 a 1
City of Federal Way
Community Development Services Electrical Permit #:04 - 100502 - 00 - EL
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: GLENPARK @ WEST CAMPUS APARTMENTS
Project Address: 952 SW CAMPUS Bldg9 Parcel Number: 192104 9047
'Dr
Project Description: Replace fire alarm control panel in building "9".
Owner Applicant Contractor
GLENPARK @ WEST CAMPUS CASCADE ALARM&SIGNAL CO INC CASCADE ALARM&SIGNAL CO INC
GLENPARK @ WEST CAMPUS 220 S FINDLAY 220 S FINDLAY
952 SW CAMPUS DR
FEDERAL WAY WA 98023 \SEATTLE WA 98108 (000)767-5800
Electrical Fixtures
Description Quantity Description Quantity _ Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Mull 1
PERMIT EXPIRES August 10,2004.
Permit issued on February 12,2004
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: Se- I461PP(t Cu.0( Date: Zl+z/ dC(
4
na c� Q. Q N,61--
RECEIVED BY
COMMUNmr°EVELOPMENT°EPARn�CNONSTRUCTION PERMIT APPLICATION
• CITY OF ' -
FEB 12 2004 APPLICATION NUMBER: (�9- I l�DSO�-
Federal Way APPLICATION NUMBER: -APPLICATION NUMBER: -**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
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• PROPERTYQINFORMATION
SITE ADDRESS: 952
✓2 51 Cary ` �C ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL o ENGINEERING o FIIRE PREVENTION SYSTEM
PRO*CT DESCRIPTION(Provide detailed description): R1 p let u2.. got ci'
9
PROJECT NAME: C I e - Pa '. @ Wes-f- Of;;LhY,p t c
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Ca t.e., t�'a - Q West @pt,v,nps (253) E6g - 2149 I
9MAILING5 2 ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
S � _ LLD 9
SW
CONTRACTOR: NA 11.zC ,n ,� t 2 5- 5 'O
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TING AD ES(SfREET IRE S;.CITY,STATE,Z-+ 4 9 8o Lfz EVENING PHONE:
�1�CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
O000 z.2- OI3 L (a63) (03o- Lt g5
CONTRACTOR'S REGISTRATION NUMBER:
XPIRATION DATE:
(copy of card required) C (�r •/ _ 136 (-Ti
/ 0004
APPLICANT: NAME: DAYTIME PHONE:
5a,m > +q'06\Pf ( )MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
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.**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ 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 o 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 as a part of this application.
NAME/TITLE: DATE: Z- /� d LC
❑ PROPERTY OWNER ❑APPLICANT /CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o 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•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com