07-105798P � 1
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 -105798 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30901 20TH AVE SW UNIT D 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
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Frxtares
Circuits - Multi Family ................... 2
I hereby certify that
the occupancy arta
PERMIT EXPIRES Monday, October 13, 2008
fierhift Issued on Friday, October 19, 2007
e information is correct and that the construction on the above described property and
w in ac an t taws, rules and regulations of t State of Washi tan
wee "�-al Way. ` dee Application'
Owner or agent: Date:
'tOCT 192007 OCT 192007
THIS CARD IS TO REMAIN ON-SITE f J
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105798 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30901 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.
For infector reference only_
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date B Date /Q ' a
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
l Date — (�
By
Date
By
Date
LIFER Ground (4295)
Approved
By
Date
For infector reference only_
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date B Date /Q ' a
F aralWhy PERMIT ------
COM UN YDsvEioPAan>rssxVAX � � ZOQ? SF MF COM EL L DE EN PP
339aJ MAV$NUY, WA 9• 3-971o BOX p LI C AT I O N
FEDERAL WAY, WA 94069-9714
as9 e3sado7• aAx �s9d9sad�a9Y O F F E QUA
BUILDING DEPT.
The following is required information — an incomplete application will not be accepted. Please print.legibly (in" or type.
SITE ADDRESS _4G I �' /'T `,( j
� ----, , SUITE/UNIT i
ASSESSOR'S TAR/PARCEL 9 — — — _ — — — — _ — LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I
PROJECT• •
TYPE OF PERMIT 0 BUILDING O PLUMBING ❑ MECHANICAL
O DEMOLITION ,� ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EMOTING USE
PEOPLE INFOIUTATION
Z4
NAME
�
PRIMARY PHONE
£! {
-(-1,,-(�
( - -
MA>LI O ADDRESS
CITY, STATE, ZIP
&MAIL ADDRESS
Lee L =�-
Z' -
-L
o t 5 4 /
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINUIADDRESS
CITY, STATE, ZIP
CELL PHONE
S
MAILING ADDRES�
CITY, STAT). ZIP
LL PHONE
o t 5 4 /
j ,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S MOISTRATION NUMBIR
ERP FATION D TZ
EMAIL ADDRESS
2
r D
COMPANY N
04
APPLICANT NAME
OFFICE PHONE
MAILINUIADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect o Tenant o Agent a Other
( _
NAME PRIMARY PHONE EMAILADDRESS
E
PsrRCW 19.97.098:
Lender information is required (f project value exceeds $5,000
MANANO ADDRESS '.
CITY, STATE, ZIP
/PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN ci HIGHLINE ❑ TACOMA 13 PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE O PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
a REPAIR o TENANT IMPROVEMENT
EXISTING
s : FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
a NO
ZONING DESIGNATION
FIRST
o YES
o NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
a YES
o NO
THIRD
o YES o NO
DEMO PERMIT REQUIRED?
DYES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE •❑ CARPORT ❑
NUMBER OF FLOORS
m rmo
r' Gess
�or�susrs••,r
roracrswwsssr
for"
"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 APPL ATI0NJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or9Yb/sho combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
1.AVS p tb. sy*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS )commareloq
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS rr.&q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that J am the property owner or authorised agent of the property owner. I cert{ fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I eertjjy that I will eompty 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 understgnert, 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. /
SIGNATURE:
Owner
o NEW a ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
a YES o NO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
DYES
a NO.
Bulletin 11100: August 16, 2007 Page 2 of 4 . k\Handouts\Pennit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add"n 500 ft2- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (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
❑ 6017 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
of circuits to be added/altered
(1-4 circuits -$74.00; Add'n 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/INDUSTRIAL 8=WCE
Serutce or Feeder Each Addlt
❑ 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
of circuits to be added/altered
(1-4 circuits -$74.00; Add'n 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/INDUSTRIAL 8=WCE
Serutce or Feeder Each Addlt
❑ 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
13Over 1000 amp 563.00
300.00
❑ Over 600 volts surcharge
$94.50
❑ Mast or meter repair
$102.00
ALTERED 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
❑ g of circuits to be added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResfdeittIal/MuIN-Family $65.00
13g of service or feeders
(First service/feeder-$74.00; each add'n -$48.00) CommerciaWndustriai 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
❑ it of Thermostats '
(First -$55;00; add'n-$17.00/ea)
❑ Low Voltage
Square Feet to be served by systems)
❑ Fire Alarm'system
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
Id 2500 ft2-$65.00;
Each add h 2500 ftp -17.00) • Per WAC 79&46r910(5)jb)#
❑ 4 of Signs
(First sign -$55.00; add'h sign $26.00/ea)
❑.Swimming pool/hot tub... .............. $111.00
(lacludea addItlonal circuit, if requited)
❑ 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 kVIandouts\Permit Application