01-101761 City of Federal Way
Community Development Services Electrical Permit #:01 - 101761 - 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: CAMPUS LANDING APARTMENTS
Project Address: 32420 1ST S&li' Way 5W Parcel Number: 182104 9042
Project Description: ELE-Moving up receptacle in spa room
Owner Applicant Contractor
CAMPUS LANDING 112 LLC NONE FULLER ELECTRIC
9500 SW BARBUR BLVD#300 FULLER ELECTRIC
PORTLAND OR 37107 12TH AVE S
97219-5427 NONE (253)661-7181
Electrical Fixtures
Circuits-Multi Family
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PERMIT # ., . =:3Q,2001,IF NO WORK IS STARTED.
n:M» < Permit issued on May 3,2001
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I hereby certify that tht�}abo--` ortuati •an that ``cons ` '' "'f N s d > - {'{
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the occupancy and 3 - 'land= $ce < ' les a „r } �f .: St t• .:'3$., ?::£ :£...f;£e: 2:-•�,}
the Cityof Federal;-.,:. ;:: ``; .... . =.-. ��-�`>
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Owner or agent: _ {yy. Date:
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C..Of ' CONSTRUCTION PERMIT APPLICATION
\>\> F-iY `"`y"' N f- APPLICATION NUMBER: 0 I - L 0 L•4 L - L
APPLICATION NUMBER: - -
MAY 03 NNE`;` APPLICATION NUMBER: - -
**The following is regruired information—Please print(in ink)or type**
1r1 r I Or ii ri,-L'vM C
Please note: Electrical, Fire Prever WM M Paid Engineering permits may require a separate application.
• • PROPERTY INFORMATION
E ADDRESS: Say a o / s+L'a.1.-e SW ASSESSOR'S TAX/PARCEL#: -
"AL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -
Car...pus Lc .%c/;by /to PROJECT INFORMATION
PE OF PROJECT(This application): ❑ BUILDING ❑ PLUMB ❑ MECH CAL ❑ MOLITION
,ELECTRICAL ' GINEER El FIRE PR r ENTIO - ' STEM
PROJECT DESCRIPTION(Provide detailed description): - LA- �Qe c€ 7 &c € Si' �+?DU
PROJECT NAME: ACL rr`J(,� dik
Lt7 . S
J.,
1 PEOP, INN `MATZO'
PROPERTY 0 R: NAME: DAYTIME PHONE:
a„�P h, ,-„ miii (us 3 ) 5')y - ‘3aSI
M. G ADDRESS(STR •DDRESS;C Aft:ZIP):
CONTRACTOR: ,ME: ` DAYTIME PHONE:
/=c,�// I =/e C4'I' 9.53 ) GG/ -?/S/
•ILING ADDRESS(STREET ADDR ,CITY,STA IP): 11 EVENING PHONE:
3-2/0'? /DM Q- Q 'e a,r ( >63) g‘/, - 2/P/
C `F FEDERAL WAY BUSINESS LICENSE NUMBE AX NUMBER:
_ _ _ _ _ .53 ) 66/ - 6
_ _ iS�
CONTRACTOR'S REGISTRA NUMBER: EXPIRATION DATE:
(copy of card required) LC 1 _ e 1 a 7 6 o 1 / 12_ 0000.2_
APPLICANT:• NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET AD • ATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER: -
El TENANT OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: yes EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: Cl LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
••
■ PRO]ECT 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.SYSTEMtS)
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 ❑ 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: ���'mss. (.� '� ' � ?•/1QA�4 DATE: 5 '4
❑ PROPERTY OWNER ❑ APPLICANT ,CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION El REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? Cl YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? Cl YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI INITY I)FVFI OPMENT SERVICES-33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129