07-104677City of Federal Way Electrical Permit #• 07 -104677 -00 -EL
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Comm3nity Development Services •P.O. Box 9718
Federal Way, WA 98063-9718
(253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE BLDG 1.714"
Project Address: 1714 SW 308TH PL 4' Parcel Number: 122103 9142
Project Description: Install (4) circuits (1 per unit)
Owner
Applicant
Contractor
FOREST COVE -388 LLC
EVERGREEN CONTRACTING
EVERGREEN CONTRACTING
12000 NE 8TH ST SUITE 200
2531 BROADWAY SUITE A
EVERGC*95*BQ (1/18/2009)
BELLEVUE WA 98005
EVERETT WA 98201
2531 BROADWAY SUITE A
EVERETT WA 98201
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits - Multi Family ................... 4
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 23, 2007
1 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 cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104677 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 1714 SW 308TH PL
FEDERAL WAY, WA 98003-4921
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.
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
By Date
❑
Temporary Power (4275)
❑
Service (4235)
j Date;
❑
Feeders/Sub-panels (4045)
❑
Approved
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
Approved
BY!'
j Date;
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date
For inspector
O Rough Electrical
Approved
By Date
reference only
❑ Final - Electrical (4055)
Approved
By<ICCT Date &j
FINAL - Electrical
Approved
By Date
RECEIVE®
A;4* r"al Way AUG 2 3 200/ PERMIT
SF MF COM EL PL DE EN
C049NUN1TY D&VELOPMENT S F F� 11� Re FP
X3325 FEDERAL
AY, WA N. 63 61 A "�PLI CATI O N TD
FEDfiRALWAY,WA 98063.9718 �►yS./��� ��
253-835-2607• FAX 253-835-2609
www cituoRederalwau.com
The following is required information -an incomplete application will not be accepted._ Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # — — — — — — — —
SUITE/UNIT # _A46-�Lf)
LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach sgxvate{xgs Jor terytUq/ legal desoptionf
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit on[/u-)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
PRIMA Y PHONE
� )
MAILING ADDRESSn j 1 CITY, STATE, ZI EMAIL ADDRESS
-2.. Ififb' [fel4q. ,-91,17_)
'APPLICANT
COMPANY NAME
APPLICANT NAME
NAME
OFFICE PHONE
e) ;IQ
/V
( ) -
MAILING ADDRESS
/
MAILING ADDRES
RELATIONSHIPTO PROJECT
CITY, STATE. ZIP
CELLPHONE
CITY OFFEDERAL WAY BUSINES50LICENS E NUMBER
EXPIRATION DATE
F NUMB
pONTRACTO '8
RATION NU1i8ER
EXPIRATION DATE
E-MAILADDRESS
e; ) R&,
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
/V
( ) -
MAILING ADDRESS
CITY, STATE, ZIP V
CELL PHONE
RELATIONSHIPTO PROJECT
FAX NUMBER
�
❑ Architect ❑ Tenant [I Agent .her 66 A%&1/
( ) -
PROJECT
CONTACT
LENDER NAME .
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
��
Per RCW 19.27.095:
Lender iti'yformation is required (f
E-MAIL ADDRESS
value exceeds $5,000
PROPOSED USE j��T� `-
VALUE OF PROPOSED WORK $AU
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
I
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ARCHANCAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE GAS PIPE OUTLETS WOODSTOVES
COOLERS
BBQS FANS HEATERS GAS WATER MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLDIIeB IM 1fi
BATHTUBS (orTLb/shower LAVS (Bathroom sink.) URINALS MISC (Describe)
Combo)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
WATER CLOSETS
DRINKING FOUNTAINS SHOWERS
(Toilet)
ELECTRIC WATER SINKS WASHING MACHINES
HEATERS
HOSE BIBBS SUMPS
I certjfy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I 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 perso, , ncluding the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its Pers d employees, upon the accuracy of the information supplied to
the cite as a Part of this application. /I !
SIGNATURE:
Owner and/or
V 27r' v
o NEW o ADDITION
PROJECT •• AREAS
AREA DESCRIPTION C] EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
BASIC PLAN?
o YES
o NO
FIRST
CHANGE OF USE?
o YES
SECOND
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
THIRD
o NO
PLATTED LOT?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
Page 2 of 4
MandoutsTermit Application
NUMBER OF FLOORS
L==0
MOP08"
TOTAL
Tvruz;v87Lloer
701ALPROPOREDBl
TOTAL Br
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ARCHANCAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE GAS PIPE OUTLETS WOODSTOVES
COOLERS
BBQS FANS HEATERS GAS WATER MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLDIIeB IM 1fi
BATHTUBS (orTLb/shower LAVS (Bathroom sink.) URINALS MISC (Describe)
Combo)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
WATER CLOSETS
DRINKING FOUNTAINS SHOWERS
(Toilet)
ELECTRIC WATER SINKS WASHING MACHINES
HEATERS
HOSE BIBBS SUMPS
I certjfy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I 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 perso, , ncluding the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its Pers d employees, upon the accuracy of the information supplied to
the cite as a Part of this application. /I !
SIGNATURE:
Owner and/or
V 27r' v
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — August 16, 2007
Page 2 of 4
MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
❑ 0 to 100 am $120.50 $ 74.00
p
(First 1300 ft2- $111.00; Each add'n 500 fta - $35.50)
❑ 101 - 200 amp 149.50 94.50
LJ Detached outbuilding or garage
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
SINGLE MULTI F
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
COMMERCIAL INDUSTRIAL PLAN REVIEW
X-*# of circuits to be added/altered
$94.50 plus 35% of Perm Fee
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential,/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commereiat4ndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ............. $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
El Fire Alarm System
Ll Yard Pole meter loops ................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits $5.00
1•t 2500 ft'J-$65.00;
Each add'n 2500 W-17.00) . Per WAC 296-46-91015)(b)fi & ii)
Bulletin # 100 -August 16, 2007 Page 3 of 4 KU11111aoutsu'enlul PLFFI oauVu