08-101296' City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Permit #: 08 -101296 -00 -EL
nspection FRequest Line: (253) 835-3050
Project Name: FOREST COVE GARBAGE ENCLOSURE _z
Project Address: 31004 19TH PL SW Parcel Number: 122103 9006
Project Description: Install 180' underground conduit to new 100 amp service at trash compactor location
Owner
Applicant
Contractor
FOREST COVE -388 LLC
EMERALD ELECTRIC INC
EMERALD ELECTRIC INC
1703 SW 309TH ST
8923 45TH DR NE
EMERAE1971LS 6/12/09
FEDERAL WAY WA 980234389
MARYSVILLE WA 98270
8923 45TH DR NE
MARYSVILLE WA 98270
r
THIS CARD IS TOWMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -101296 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 31004 19TH PL SW
FEDERAL WAY, WA
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.
❑ LIFER Ground (4295)
Approved
By Date
❑ Ditch cover (4030)
Approved
By CZD Date • 8 z
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
14
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date2
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
j IL
By
Date
%By
Date
❑ Final - Electrical (4055)
Approved
By . Date
For insp ctor reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date Byo
e Date 2 D
CRT OF 'A
Fedml CEIVESPERMIT
CaDYAR/NIfYDBY8LOP1 ��l�S
33325 8m AVENUE SOUTH • PO BOX 9718
253-835-2W7- PAX 2=-26'09MAR 18 200APPLICATION
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SF MF COM EL L DE EN FP
The foiiott xfffVrmf�i� t�ompiete applicat{on will not 6e accepted. Please print legibly ({n ink) or type.
SITE ADDRESS _3I00 9' /,% I"'% P 1 !;w /—e / wey t-, A- no
f
ASSESSOR'S TAX/PARCEL i _ _ _ _ _ - _ _ _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) tf. 16ry tri
(•— swa-aProelbrknerh0 hved•l
PROJECT•• •
TYPE OF PERMIT O BUILDING O PLUMBING ❑ MECHANICAL
❑ DEMOLITIONAELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
T6, -c4-,, // / $o " L, ra "Pq e -o"'
v4.9.- Go
PROJECT NAME (Name ofBusiness or Owner Last Name► 5rov S l lr7C. 1 .4,•o S L 5;;f S 7` e -a--3
PEOPLE, INFORMATION
PROPERTY
OWNER
PROJECT
CONTACT
LENDER
NAME
�
� �
PRIMARYPHONE
-
MAIUNO ADDRESS
CITY, STA
,ZIP
,//e-
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAM$
'fm c� !tom `. r,�
APPLICANT NAME
oL Gold
OFFICB PHONE
MMUNO ADDREBS
V f25
Dr N,�
CITY, STA
,ZIP
,//e-
CEL. PHONE
Lr 6 -too
CI'T'Y OF FEDERAL WAY BUSINESS �UCCEENSE NUMBER Lo�t
.0�2
( -
RATION DATE
FAX NUMBER
CORTRACTOWN RX018TRATIOD NOI[SiR
Z3MM ATiON DATD
WMAE. ADDRESS
Lr .er -ci 4T.2 L
(-�Ilgzo� a
COMPANY NAME APPUCANT NAME
�l
OFFICE PHONE
re-w41� JLt Gd"e-
-
MAILNO ADDRESS CITY. STATE. ZIP
CELL PHONE
REIATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
NAME
CO ll0 (MARY
/liY(/ AV IC MAIL ADDRESS�J VNIi.G O
NAME
per RCW 19.27.095.
Lender {gformalion is required if project value exceeds $5,000
MAILNO ADDRESS
aTY. STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORT{ �
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAIMUVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEFIAVEN 0 HIGHLINE 13 PRIVATE (SEPTIC(
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
FT.
BASEMENT
o YES o NO
BASIC PLAN?
-SQ.
T
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES a NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
marine
raorowo
MdL
TOM saMMSr
roreemearossaar
rortaar
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (w n,b/81.. Combq
DISHWASHERS
DRINKING FOUNTAINS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS Ismi.. www
RAINWATER SYST
SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (com.ad.q
RANGES '
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS hire
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cart ft ander penalty of peiury that I am the property owner or authorised agent qf the properi g owner. I cpWft that to the best of my
knowledge, the information submitted in =Wport of this permit application is &us and correct. I cert(N that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 1 understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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 Jiied against the city, 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.
SIGNATURE: (� DATE 3
101 Property Owner and/or Authorized Aeant
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
q YES
n NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —January 1, 2008 Page 2 of 4 MandoutsTermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add% 500 ft2 - $37.00)
0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201- 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401- 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service . Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601-800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389:50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
Service or Feeder
❑ 601 - 1000 amp 439.00
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ over 600 amp 234.00
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Add% circuits, $7.50/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$76.50; Add% circuits $7.50/ea)
$98.00 plus 35% of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $57.50
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILB HOME/RV PARK
RestdenttaWitUl-Fa redly $67.50
(3# of service or feeders
(First service/feeder-$76.50; each add% -$50.00)
CommerciaWndustrial Service or Pleader Angmdty
❑ 0 -100 amps $ 76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$57.50; addh-$17.50/ea)
(First sign -$57.50; addh sign $27.00/ea)
❑ Loa Voltage
❑ Swimming pool/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm system
❑ Voice Cabling
❑ Additional Plan Review $115.00/hour
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
114 2500 fr+-$67.50;
Each add% 2500 ftl - $17.50) *Per WAC 29&469I0(5k(b)# &Q
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Iandouts\Pemut Application