07-105791n n
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 #: 07 -105791 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30917 20TH AVE SW Unit A Parcel Number: 122103 9141
Project Description: Adding (2) circuits for washer/dryer unit ...�
Owner
Applicant
Contractor
FOREST COVE -388 LLC
GOLD ELECTRIC
GOLD ELECTRIC
12000 NE 8TH ST SUITE 200
1308 V ST NW
GOLDE**062P4 (2/23/08)
BELLEVUE WA 98005
AUBURN WA 98001
1308 V ST NW
AUBURN WA 98001
Addlti6nal-ii iWf Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits - Multi Family ................... 2
Owner or agent:
See A n�iir.
;OCT 192007
Jay, October 13, 2008
y, October 19, 2007
at the construction on the above described property and ;
Jaws, rules and regula#Dns of the State of Washington
Federal Way.
on Date: See Application
,OCT 192007
`THIS CARD IS TO REMAIN ON-SITE F
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105791 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit A
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 inbpections.
are logged on the back of this card.
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date B Date 1 J.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
_
❑
❑
❑
Temporary Power (4275)
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
B
Date 10 — ZL,
By
Date
By
Date � 'a
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date B Date 1 J.
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C.0 < 16th Ave. SW
Building Division
CIN OF 33325 Eighth Avenue South
Federal Way • Fe Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
k
ADDRESS: -30!2Z77 \ti #:
L4
IF YOU HAVE ANY QUESTIONS CALL
Call for reinspection before cover
(253) 835- Z� Zje
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD_
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVED
erts or'�
Fafta I�
OOYMUMIYDEVEWPNBNT CT 1 S 2007 . PERMIT
33325 01 AV$= SWIW •
, PO BX ygilt
z WAY, WA"
OF #PPLICATIONA
BUILDING DE
07- - 10 5- q 1
SF MF CO MEL DE EN FP
r . . - — / /
The following is required information- an incomplete application will not be accepted. Please print.legibiy (in" or type.
SITE ADDRESS _ r c
ASSESSOR'S TAR/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(�n�•PawJm►�dl
PROJECT•• •
SUITE/UNI'? #
LOT SIZE (sn
TYPE OF PERMIT o BUILDING ❑ PLUMBING. . O MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onivl
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE -
MAILING ADDRESSfes/ 1 j�
CITY, STATE, ZIP
E-MAIL ADDRESS
CO PANY t4AME i
APPLICANT NAME l
OFFICE PHONE
LING DRESS ^/
C sr ZIP
CELL PHONE
,�
sBUSINES, WCENSE
_
CITY OF FED WAY NUMBER
EXPIRATION DA E
FAX NUMBER
CONTRACTOR'S IBTRATION NUMBAR.
ZXPTZIOtI D TS
E MAIL ADDRESS
COMP AME APPLICANT NAME
OFFICE PHONE
MAIL4NO ADDRESS CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Tenant D Agent o Other
_
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.098:
Lander information is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES O NO
RATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT ••• AREAS
AREA DESCRIPTION EXISTING
SQ. FT.
PROPOSED
SO. FT.
TOTAL
SQ.FT.
BASEMENT
BUII.DING SHELL ONLY?
o YES. o NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
o YES
o NO
NEW ADDRESS REQUIRED?
THIRD.
UP/SEPA/SU?
o YES.
o NO
ADDLTLONAL FLOORS (DESCRIBE)
o YES o NO
DEMO PERMIT REQUIRED?
o YES
DECK (O COVERED OR 11 UNCOVERED?)
GARAGE 0 CARPORT O
NUMBER OF FLOORS
msneo
rsorwso
Torn
RFALSE m••u
rorarseroesssr
iorasr
•'NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing futures to remain.
Value of Mechanical Work $ _(ACOP OFBID OR ESTIMATE MUST •BE INCLUDED WITHAPPLICA770NJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (w Tub/Sh..Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE B1BBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOO SETS
LAVS (eeuuoom Sk*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerei.o
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (r.&q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert{ jy under penalty of perjury that l am the property owner or authorized agent of the property owner. I cert(& that to the best of my
knowledge, the ir(jormation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 Taws.
I fwther 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 elalmh which may be made by any person, including the undersigned, and flied 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 igforrnation supplied to
the city, as a part of this applieatiyp. /J
SrGNATURE:
v NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUII.DING 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
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 .
Mand
outsTermlt Application