04-105238 City of Federal Way Electrical Permit #: 04 - 105238 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-305C
Project Name: CRESTVIEW WEST APARTMENTS BLDG 2
Project Address: 27912 PACIFIC S e),14 L Parcel Number: 720480 0210
Project Description: Install low-voltage wiring for fire alarm system in all units in building 2.
Owner Applicant Contractor
CRESTVIEW WEST APTS INTERCEPT CONTROL SYSTEMS INC INTERCEPT CONTROL SYSTEMS INC
27900 PACIFIC HWY S PO BOX 30 PO BOX 30
FEDERAL WAY WA 98003 MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
(253)838-4400
Electrical Fixtures
Description Quantity Description Quantity Description 'Quantity
Low Voltage Burgler Alarm-Residen 20000
PERMIT EXPIRES June 27,2005.
Permit issued on December 29,2004
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 •= ' ac•f dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way'r
Owner or agent:— 1P Date:
THIS CARD IS TO REMAIN ON-SITE "'.' - • ,.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _
PERMIT #: 04-105238-00-EL
Owner: CRESTVIEW WEST APTS
Address: 27912 PACIFIC HWY S
FEDERAL WAY, WA 98003-3084
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved A, Approved
By Date By Date By .I, Date 0 Ir.--
❑ Under-slab groundwork(4295)
Approved
By Date
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CRESTVIEW WEST as
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27912 PACIFIC HWY S Phone: 839-8222
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Type: Apartments Units: 222 o inch
1100 Feet Q .�
23 Kroll Page: 366 Patrol District: FW3 Tile: 5 scale:1 inch=109 feet > k �;
,. - RECEIVEk o q - l
Federal Way PERMIT — -tea 3 8'
COMMUNIVENUE OUTH•TSERV1C1s,;_` 2
20 SF MF CO ME �pL DE EN FP
• 3332E -8 AVENUE SOUTH•63 BOX 9 p p L I C A T I O N
FEDERAL WAY,WA 98063-9718 {,p
?53-835-2607•FAX 253-835-2609 I.
www.dfgoffederalwagfitQTY OFA� FEDERAL�� nn��RRWAY JLC
The following is requT ei7Yr�, lYrtiotr-an incomplete ap•lication will not be acce•ted. Please •rint legibly(in ink)or type.
�y • PROPERTY INFORMATION
SITE ADDRESS 427)"7 D2 /901-t ; / G/ S oVim/ SUITE/UNIT#Q _cC
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for Icy legal desoipoon(
i .4 - ■ PROJECT INFORMATION - -
TYPE OF PERMIT 0 BUILDING 0 PLIjMBING 0 MECHANICAL
0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on thispermit onlq)
dei . ALL Loi.v t/De-7-4-6 c 'le& 4 c A-,e,- i e.. ),,e[x./6
1
PROJECT NAME(Name of Business or Owner Last Name) (e,v%14l A9 „.„----,7-- 4,1 S
• PEOPLE INFORMATION
PROPERTY NAME(Ysi
1 �/-l/
w"' � f (I PRIMARY PHONE -OERP )
MAILI , S I CITY,STATE 1P� _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
hT�Qc�7T CegrileI Sy-W- s ( s si €� (4.53) 6.3a -4/4/66
M ING AD FSS CITY, TATE,ZIP �2- CELL PHONE
I "G- AD
3v /nape,e, ;4// fi7 ffq, too (2_66)3?6 -756c{
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIR/MON DATE FAX NUMBER
- B L / / (253) S-313' --i'2:6-7
' CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
.t IV T � R e 51 o r 96- // / `c /-0_5—
APPLICANT
aYAPPLICANT Co NY NAME
APPLICANT NAME OFFICE PHONE
O v elleivm ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds 55,000
MAILING ADDRESS CITY,STATE,ZIP
. - - - • ■ DETAILED BUII.DING INFORMATION .
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) _
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS . .
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
- FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
_
HOW MANY FLOORS? TOTAL LXLSTING TOTAL PROrOSLD TOTAL LXISTiNG AAD rROroseD
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
: ._ 1,17:-i-7..-2- -‘:-';';‘..F--`;'-'1 ::;:-.7---'-• - - - - _FDLTURES .- _ :
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. 1
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG-SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS 1
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(mkt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
'-::------:=.:5_---7-:::=.-' _`DISCLAIMER/SIGRATUREBLOCK. = -- . =_ - _- - -
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, ' ding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
4/NAME/TIT. DATE 7 �/ (v
Signature) (Title)
I RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑ Architect 0 Other
i
f FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR a TENANT IMPROVEMENT
i BUILDING SHELL ONLY? o YES 0 NO BASIC PLAN? o YES 0 NO
f ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
t NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Permit Application
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