08-101360r City of Federal Way
Applicant
Community Development Services
`
P.O. Box 9718
Federal Way, WA 98063 -9718
BOONE ELECTRIC CONSTRUCTION
Ph: (253) 833 -2607 Fax: (253) 835.2609
16609 110TH AVE E
BOONEEC952BM (1 /10 /10)
Project Name: COTTAGES WEST - CL
Project Address: 35236 2ND AVE SW
Electrical Permit:'08- 101360 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Description: Installation of (1) 400A service and (2) feeders for Units 3 & 4.
Parcel Number: 302104 9146
Owner
Applicant
Contractor
VILLAGE GREEN OF FEDERAL WAY
BOONE ELECTRIC CONSTRUCTION
BOONE ELECTRIC CONSTRUCTION
P O BOX 98309
16609 110TH AVE E
BOONEEC952BM (1 /10 /10)
DES MOINES WA 98198 -0309
PUYALLUP WA 98374
16609 110TH AVE E
PUYALLUP WA 98374
Additional Permit Information
Service greater than 1000 Amps ? .......................... No
Electrical Fixtures
Service 2p,00 amps - Multi Fan 3
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City oevelopmentS Electrical Permi *•'08- 101380 -Ob-EL
Community Development Services * � •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: COTTAGES WEST - CLUSTER VII
Project Address: 35236 2ND AVE SW r Parcel Number: 302104 9146
Project Description: Installation of 400A service
Owner
Applicant
Contractor
VILLAGE GREEN OF FEDERAL WAY
BOONE ELECTRIC CONSTRUCTION
BOONE ELECTRIC CONSTRUCTION
P O BOX 98309
16609 110TH AVE E
BOONEEC952BM (1/10/10)
DES MOINES WA 98198 -0309
PUYALLUP WA 98374
16609 110TH AVE E
PUYALLUP WA 98374
Additional Permit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures,
Service: 201 -400 amps - Multi Fan 1
Owner or agent:
Date: v'3/0
C
' & , THIS CARD IS TO �AIN ON -SITE
CITY OF rommunity Development r ' Inspecfi�on Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101360 -00 -EL
Owner: VILLAGE GREEN OF FEDERAL WAY
Address: 35236 2ND AVE SW
FEDERAL WAY, WA 98023
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.
UFER Ground (4295)
Ditch cover (4030)
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date 3 i�
B
C s Date -A_ 1(o,p -e5
Date
0 Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
/
Date 6 • ZZ / 06
Feeders /Sub - panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
6Z
By Date
By
- Date '��
By
Date
Final - Electrical (4055)
Approved
By . Date
For ms ector reference only
FE Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date I I By Date
Federal W[� p��1V1TT SF IVIF CO �LL DE EN FP
COMMUNnYDEVEIAPMENT FtY1(%
3332FEDERAENUESOA 98 $71971b DPLICATION
FEDERAL WAY. WA 53-83 -260 [- •
253 -835 -2607• FAX 253 -835 -2609 MAR
uu �ir cite 2"Xd atumn.com
The follolving is required in- t•io-V-tff-iW#Rvte application Will not be accepted. Please print legibly (in ink) or type.
�L
SITE ADDRESS ✓� n, (x A O w
ASSESSOR'S TAR /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE /UNIT M
LOT SIZE (sfi
pnraee pgge,j • [ ''qft >�1 disc 1p"o )
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this &rmt onlu)
i 711 it, U /I i
�ffm.�
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
- r°
PRIMARY P NE
NAME
PROJECT NAME (Name of Business or Oumer Last
.�� �c�
G�
�-
PEOPLE
•• •
F
COMEaNY
/, `NAME /
APP�yANt /T.N� —�{�
(OFFICE PHONE..
PROPERTY
MAILING ADD
.STATE, ZIP - J'y,� -�7L
-•li /
r �N
'�C.' ,J
OWNER
IFAX
I OF FEDERAL AY BUSINESS LICENSE NUMBER
RATION DATEt
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIGIWNE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGIMNE ❑ PRIVATE (SEPTIC)
PRIMARY P NE
NAME
.�� �c�
G�
ADDRESS
MAl1.d�1G ADDRESS
TE. ZIP
�
E- ADDRESS
F
COMEaNY
/, `NAME /
APP�yANt /T.N� —�{�
(OFFICE PHONE..
MAILING ADD
.STATE, ZIP - J'y,� -�7L
-•li /
r �N
'�C.' ,J
IFAX
I OF FEDERAL AY BUSINESS LICENSE NUMBER
RATION DATEt
NU MBERs�
CON_ TRACT}}O��Rt's RBGISTRATION NUMBER
BEPIRATiON DATE
E -MAll. ADi DC],[!RESSTi.Uk^"
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
,
c; e t
_�
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
-
FAX NUMBER
RELATIONSHIP TO PROJECT
J
_
❑ Architect ❑ Tenant ❑ Agent ❑ Other
N
PRIMARY PH E _
�<
E -MAIL ADDRESS
-�J
per RCw 19.27.095:
Lender £nfgrmaNgn is required £f nroiect uglue exceeds 55,000
NAME
MAILING ADDRESS
CITY, STATE. ZIP
PHONE tl
J
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIGIWNE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGIMNE ❑ PRIVATE (SEPTIC)
FIRST
SECONI_1
AREA bE9CRIPTION EXISTING PROPOSED TOTAL
s0. FT. aQ• �"T• SQ. FT.
fAL I:LOORS (DESCRIBE)
COVERED OR ❑ UNCOZ
'107Ai
NUMBER OF FLOORS
* *NLW,H011&6 ONLY"' NUMBER OF BEDROOMS
Toren r1181a+s ar
ESTOAATF.b SELLING PRICE $
rA,oroazo ar i aoswc Qr
Indicate number of each type of f U" to be installed or retooated aS pmt of th'E projec, Do riot include existing jtxtureS to remain
AERC L&MCAI.
OR r- SY4MATZ MUST 13E IIVCLUDZt' AripLIGA7`IONJ
Value of Mechanical Work $
(A COPY OF Bm
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
MISC (Describe)
BBQS
FANS
GAS WATER HATERS
BOILERS
FIRPSPLACE INSERTS
HOODS (commexc;a!)
COMPRESSORS
FURNACES
RANGES
bUCTS .
OAS LOG SETS
REFRIG, SYSTEMS
BATHTUBS (or'ttib /SbOVc rcombe) LAVE (HStLrooaas;01S1
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
ROSE BIBBS SUMPS
URINALS MISC (Deacrlbe)
VACUUM BREAKERS
WATER CLOSETS (rallat)
WASHING MACHINES
T certify under penalty of perjury that T am the ,proPOrty zanier or authorized agent of the praperiy 0"'ar. T csr-iifil that to the beat of -9
kn wzedge, the information submitted in, support of this permit application is true
and eorne� I cert�/ that 7 will comply =H a zit his p —ft
City of Federal Way regulations pertaining to the work authorized by the Issuance Of d permit; T underotan.d that the lesu¢nae of this permit
doss not remove the °Tuners r+esponstMiity for compliance with locatj state, er federal laws regulating canotruetion or environmental Taws.
I further agree to hold harmless the City of Federal Way as to any claim fly= siding costs, *r*°s, and aitorasys• %sa incurred t the
invevtigation and dej'ense q/ such alal"O, which may be made by any person, including the undereigned, and filed against the city, but only
where such claim arises the reliance of the city, including its q Urrs and cmploUees, upon the aceuraey of the iii formation supplied to
the city as apart of this ation- 4-q.0
�ti� / /:� —DATE
SIGNATURE:
FOR OBP'lCE USE ONLY .
o NEW ❑ ADDITION
BUILDING SIIF,LL ONLY?
ZONUNG DESIGNATION
NEW ADDR80S REQUIRED?
PLATTED LOT?
s00 /�00 'd
Froper weer- and /or Autlwr+2ed Agent
O ALTERATION p REPAIR ❑ TENANT IMPROVExEIIT
❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
d YES ❑ NO UP /SEPA /SU? ❑ YES v 110
o YES n NO
DEMO PERMIT REQUIRED?
❑ YES ❑ Wo -
Z�00 P9 ESDN XU OI91031a MOM Wd IO :IO QHM/800ZAR /60