01-101875 r
City of unFeDeral Way
mmn
Conity Development Services Electrical Permit #:01 - 101875 - 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: STONEHAVEN APARTMENTS
Project Address: 1900 SW CAMPUS D r Parcel Number: 132103 9103
Project Description: EL-Electrical work associated with fire repair.
Owner Applicant Contractor
STONEHAVEN AT WEST CAMPUS FULL SPECTRUM LIGHTING SERVICE FULL SPECTRUM LIGHTING SERVICE
1900 SW CAMPUS DR 9304 N LAKE DR SW 9304 N LAKE DR SW
FEDERAL WAY WA 98023 LAKEWOOD WA 98498 LAKEWOOD WA 98498
(253)222-8433
Electrical Fixtures
ty -Description {Quantitvl
��Descripti �� �Quantit�r , ti 1.-� �s�ription ,a�� ,�F�Quantl ,G�.
Alt.Serv./Feed:201 to 600 amps-Mul 6
PERMIT EXPIRES November 7,2001,IF NO WORK IS STARTED.
• Permit issued on May 11,2001
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.
Owner or agent: 1._--7 Date: //_
/ 3 01 /'
RECEIVED
I;� G CONSTRUCTION PERMIT APPLICATION
lap APPLICATION NUMBER: Q - C1 r 4 _I
(—
FIY `_ SAY 1 1 �� i
APPLICATION NUMBER: - -
CITY OF f DEDh WAY APPLICATION NUMBER: -
BUILDING DEPT. -
**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.
• • PROPERTY INFORMATION
1 r cS (..O • 4:,""-LA' 36/ 302
SITE ADDRESS: ZO( ASSESSOR'S TAX/PARCEL #: -
!oJ k0L
t LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): do
AIIII
• PROJECT INFOR 1ATIOA
TYPE OF PROJECT(This application): ❑ BUI G ■ 'LUMBIN' ❑ HANICA ❑ DEMOLITION
IN. 4 'L ❑ '- GINEERI`' ❑ FI• PREVE ION SYSTEM
PROJECT DESCR • ON(• ,vide detailed des 'ptio. ,,Y/ .' , 3 fe P,le C.6Jnf1.e hep/L fr Par .
if.Sie ,'gr Vii ; 4 7iir)� ' 4e 'rm , p ` _C •r, its, �(/' N/1z 2( 1 c".20 1
/4/s ,'IL /j/61(tr A (14 ,: ` I - ;_ _ ' I
M S:
PROJECT NA S- 6 ‹ i I !�
• PEOPLE INFORMA,'ON
PROPERTY OWN _. • NAME: _ DAYTIME PHONE:
ZldiV/J /,j�� v6 A A s ( ) -
MAILING ADDRESS(SIR DORESS;CITY, ,¢IP):
CONTRACTOR: NADAYTIME PHONE:
FALL 5 ec-6/'' t. cvt, (Z.c3)22.2 - 8 '_n
MAILING ADDRESS(SIRE DDRESS;C i " . TE,ZIP*, '' - V 7 lg EVENING P1HOONE:
130 �(,u cat)
OF FEDERAL WAY BUSIN' LICEN -, FAX NUMBER:
(?S3 )csl -S31?
CONTRACTOR'S REGISTRATION NUM; / ]L ` 2EXPIRATION DATE:
(copy of card required) i (A L S L J 0 ! K /�o c /2.6 /p ?...)
APPLICANT: NAME: DAYTIME PHONE:
NAME:,,
or () a4.7/ 1^ K (z C3) ?.2 Z. - 8 /331
MAILING ADORES STRE ADDR SS;CITY,STATE,ZIP): EVENING PHONE:
93 0 ? /IL Z Axilli.,s Co L.) c�wok t,, ,cig:I -
RELATIONSHIP TO PROJECT: (7 LU/l-T -" '' FAX NUMBER: c�
❑ ARCHITECT ❑ TENANT ® OTHER(DESCRIBE): Sc/.b CAr/i^gc.Thr (2 S-3) 5g/ -O 3/y .
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: 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: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• • ,
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROSECT 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 ❑ 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.� '' 11 / /A1 /)
NAME/TITLE: 2a..."-ir0 w/�/� DATE: S /l " 1
❑ PROPERTY OWNER___2(. APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ 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•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129