07-105794City of Federal Way Electrical Permit #• 07 -105794 -00 -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: FOREST COVE APARTMENTS
Project Address: 30917 20TH AVE SW Unit D Parcel Number: 122103 9141
Project Description: Adding (2) circuits for washer/dryer
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
0
' THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105794 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit D
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) ❑ 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
Date 10 —Z(, _o7 By Date By Date • b
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
ApprovedApproved
By Date By Date ,p
cryo. wE® :7
C0NwMTYDEV=,PMM'SBRVICBS PERMIT SF MF CO ME. DLL DE EN PP
339?PBDL $NU Y, W!!1i • POBDX 9714
FEDERAL WAY, WA 94069.9714
2S9-835-2607• FAX ?59495.2669 /
CITY OF FEDERAL
AY
The following is requlF"+{ii�iittCon - an incomplete application will not be accepted Please print.legibly (in ink) or type.
SITE ADDRESS
i
ASSESSOR'S TAR/PARCEL # — — — — — —
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT O BUILDING ❑ PLUMBING. . O MECHANICAL
SUITE/UNIT g
LOT SIZE (sn
O DEMOLITION O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onto)
PROJECT. NAME (Name of Business or Oumer Last Nameh
PROPERTY
OWNER
NAME
C C G �L�
PRIMARY PHONE
( I _
-CEL PHONE
UNO ADDRES3
CITY, ST E, Zip F
E-MAIL ADDRESS
I
PHONB77
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COM NY A
APPLICANT NAME
OFFICE PHONE
-CEL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
MAJUNG ADDRESSe
I
PHONB77
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER
EXPIRATION DATE
F NUMBER
CONTRACTOR'e TION NtqUZREXP
TION DA
EMAIL ADDRESS
COMP AME APPLICANT NAME
OFFICE PHONE
_
MfMNU ADDRESS C11Y, STATE, ZIP
-CEL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect 11 Tenant o Agent a Other
NAMEPRIMARY PHONE E•MAILADDRESS
NAME
Per RCW 19.27.096:
Lender information is required (f project value exceeds $5,000
MAIUNO 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
VATER SERVICE PROVIDER O LAKEHAVEN p HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 13 HIGHLINE O PRIVATE (SEPTIC)
PROJECT ••
AREA DESCRIPTION
.EXISTING
3 : FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
BASEMENT
PANS
GAS WATER HEATERS
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (commerdQ
CHANGE OF USE?
SECOND
FURNACES
RANGES
o TES o NO
THIRD -
GAS LOG SETS
REFRIG. SYSTEMS
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO.
DECK (❑ COVERED OR ❑ UNCOVERED?)
LAVS (Bu,,... sn t,(
URINALS
MISC (Describe)
GARAGE ❑ CARPORT ❑
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
msrao
nw•oRo
TQTA&.
ELECTRIC WATER HEATERS
roT,"rsaraesosr
rorMsr
+•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 fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTASATE MUST BE iNauD,ED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
PANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commerdQ
CHANGE OF USE?
COMPRESSORS
FURNACES
RANGES
o TES o NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLATTED LOT?
3'
DEMO PERMIT REQUIRED?
o YES
o NO.
BATHTUBS (o,n.b/s comm
LAVS (Bu,,... sn t,(
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (reseq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerft that to the best of my
knowledge, the ir( formation submitted in support of this permit application is true and correct. 1 eertO 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 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 filed 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 apart of this application. 110:�7
SIGNATURE:
o NEW o ADDITION
a ALTERATION
o REPAIR o TENANT U dPROVEMENT
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 TES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o TES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 = August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Famt7y Square Feet
(First 1300 ft2- $111.00; Each add% 500 ft2- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI-FAMMT (three units or more)
Service or Feeder
Service
Feeder
❑ up to 200 amp
$120.50
$ 35.50
❑ 201- 400 amp
149.50
74.00
❑ 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
yGf�_� of circuits to be added/altered
/ (1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/ SERVICE
Sen*eorFeeder EachAddh
❑ 0 to 100 amp $120.50.
Service or Feeder
❑ 0 to 200 amp
$ 92.50
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
yGf�_� of circuits to be added/altered
/ (1-4 circuits -$74.00; Add% circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/ SERVICE
Sen*eorFeeder EachAddh
❑ 0 to 100 amp $120.50.
$ 74.00
❑ 101- 200 amp 149.50
94.50
❑ 201- 400 amp 280.00
111.00
❑ 401- 600 amp 327.00
131.00
❑ 601- 800 amp 423.00
179.00
❑ 801-1000 amp 516.50
216.06
C1Over 1000 amp 563.00
300.00
❑ Over 600 volts surcharge
$94.50
❑ Mast or meter repair
$102.00
ALTBRED COMMERCIAL/INDUSTRIAL
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
❑ over 1000 amp 471.06
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add% circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/9 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
Residential/Multi-Family
$65.00
# of service or feeders
(First service/feeder-$74.00; each add% -$48.00)
CommerciaWndustrial 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
(First -$55;00; addh-$17.00/ea)
❑ Low Voltage
Square Feet to be served by aystem(s)
❑ Fire Alarm, system
❑ security Alarm system
❑ voice Cabling
❑ Data Cabling
❑
1st 2500 W465.00;
Each add% 2500 ft1-17.00) • Per WAC 296.46910(S)(b)# & 6)
❑ # of Signs
(First sign -$55.00; add% sign $26.00/ea)
❑.Swimming pool/hot tub ................. $111.00
([iwludes additional circuit, if required)
❑ Yard Pole meter loops ....... :............. $74.00
❑ Additional Plan Review $111.00/hour
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
Bulletin #100 -August 16, 2007 Page 3 .of 4 WiandoutsTetmit Application