01-102798 City of Federal Way
Community Development Services Electrical Permit #:01 - 102798 - 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: CROSSPOINTE APARTMENTS
Project Address: 35810 16TH g A-ve- 5 Parcel Number: 282104 9070
Project Description: ELE-Install(1) 15-amp circuit for boiler.
Owner ApplicantContractor
KITTS CORNER APARTMENTS*KITTS CO KELLER ELECTRIC KELLER ELECTRIC
500 S 336TH ST#102 9615 180TH ST SE 9615 180TH ST SE
FEDERAL WAY WA SNOHOMISH WA 98290 SNOHOMISH WA 98290
98003-6389 (425)481-8392
Electrical Fixtures
5 - Description, !Quantity) ,µDescription. . 1Qt antit" ' , , Description (Quantity!
Circuits-Multi Family 1
PERMIT EXPIRES January 13,2002,IF NO WORK IS STARTED.
Permit issued on July 17,2001
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. XOwner or agent: Date: 7---/-7-6/
/
07/11/2001 12:25 FAX 2536614129 CUT Ft.11t:llAL{Y.t1 j V VI.
CX.,0, • Fr,SSN 0 CONSTRUCTION PERMIT�gAPPLICATION
1 `1V IFr �TKFI -- PPLICAMION NUMBER: CY -TIC
_J Qe.--.: 1779 i -01 &-2
rc,, ` PPLICATION NUMBER: _
10St vvikY PPLICAIION NUMBER: _ - ,___I
..1,01(Bt i6 I� kd information—Please print(in ink)or type"
Please note: Electrical,FirC Prevention Systems and Ergineerilg permiLS may require a separate application.
-. ' . PROPERTY INFORMATION
--e�"�fC)V _� _
LEGAL DESCRIPTION OF SubJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY);
Y ,. ►i PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL ❑Ai.,
NGINEE• NG❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descriptio • ` fir ..A / /1---4 , ekZ
.1111111e1VIR.
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PROJECT NA' - i ''4 aiL
? 'VA Imp
kib "'.•PLE I..FORMATI N
PROPERTY OW N 3 UPYIIME PHONE:
1 t�S�)&*/ -9C; 9Sl,
' • E.
MAI ADDRESS SIRE ,[N2ESS:�l '5T E'TIP' i
tip 4 i `,e9e9
IiiiirAi �,Ili,w ♦i'� lam.
r!►�f DAYTIME PHO�NN p .y
CONTRACTOR: //, i,, /' ,41;
,i - f 6 )7NE:/ -Os%v)
• C yiN ADDRESS ' 'I%L•.,. r / �r/ / EVENING PRONG:
1.
CITyy FEDEPLI. DOM-S ; SE NUM< ,- 01' FAT NUMBER:
t. a.. - Oka)4 -7/4/
CON'ii Lr k'S REGISTRATION NL'N,• —
_ EDCPIRATTON DATE:
(my of card reCvkN) L ' M '- /r71, 1 1 ,e'"/ry�
APPLICANT: NAME , DAYTIME PHONE
(i / './ .� /f5- i cfj
WRING ADDRESS?STREET AD PEE CITY,' / UP): 94:019A{ EVENING PHONE: 1
RELATIONSHIP TO PROJECT: /�� �_ irAX NUMBER: ',y l
0 ARCHITECT O TENANT OTHER(DESCRISE):1 /�Le3 SPD)4 7v
E-NAIL ADDRESS: ,, '
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR (1../16..//e-//eJ ,t,/r4C J ot
• - ■ DETAILED BUILDING INFORMATION
EXISTING USE; EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS: $ _ —
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
OT/11/ZULU 1,4::$ iiu itO;soo111LU L,aaa rcaProZNA .11 Al z -
4
I---
f Fs•NEWRESIDENTIALCONS'RUCTIONONLY*"
L_ NUMBER OF BEDROOMS• ESTIMATED SELLING PRICE: 5 —
• PROJECT FLOOR AREAS
1--- FLOOR EXISTING S■.FT. PROPOSED 54-FT. TOTAL
BASEMENT ,
FIRST ( _
SECOND
THIRD —_
FOURTH
OTHER FLOORS(DESCRIBE)DECK
GARAGE '
HOW ANY FLOORS? _ — — " —
—
TOTAL: ^._
11111111111111111111111111111.11111111322211111111111111111111.11111111111111.1.
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING uNIT(S) EVAPORATIVE COOLER(S) -- GAS LOG(S) REFRIG.SYSTEM(S)
—
BEI (5) FAN(S) HOOD(S) WOODSTOVE(5)
_ BOILER(S) FIREPLACE INSERT(S) _ RANGE(S) , MISC. ( )
COMPRESSORS) FURNACES)
DUCT(S) _� GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) UWATORY(S) URINAL(5) ____ WATER HEATER(S)
Y DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING ING FOUNTAIN(S) SHOWER(5) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) �__ WATER CLOSET(S) MISC_(„ )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLACK - - . . -
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,ininduding ng the u s and empind oyees,yceuponth
d, inst e aCity accuracyo
f
Federal Way,but only where such claim arises out of the reliance of the city, r+9 its ar
of the information suppli to the city as a pa • this • licatio,n. r�
NAME/TITLE: A L$// A i t . DATE: V•-- /' ��
0 PROPERTY NER 0 APPLICANT %\CONTRA OR
FOR OFFICE USE ONLY: i _
0 NEW 0 ADDITION 0 ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: _
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION _ BASIC PLAN? 0 YES D NO
SECTION TOWNSHIP RANGE — NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
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