07-105802r .
City ityDeFederal
lopmentS Electrical Permit #• 07 -105802 -00 -EL
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (23) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30909 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
" Additional PermitInformation .
Service greater than 1000 Amps?...........................No
1Iec#rical fixtures,
Circuits - Multi Family ................... 2
PERM
let
I hereby certify that the above inform
the occupancy and the use will be i
Owner or agent:
T EXPIRES Monday, October 13, 2008
mit Issued on Friday, October 19, 2007
ation is correct and that the construction on the above described propertyand
i accordance with the laws, rules and regulations ofof W shi ton
t City o Federal Way. , IlCation
e ��licarion 8619AI
Date:
OCT 192007 ,OCT 192007
+ THIS CARD IS TO REMAIN ON-SITE
C1n OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105802 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit A
FEDERAL WAY, WA 98023
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
By Date p_ 2 k _�
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
VED 07
F �l y� PERMIT------
ComwNLTYDSVELOPMBJVT 2007 SF MF CO MEOPL DE EN FP
333?6d-AFBNUB,wA q8 w.9n ?PLI CATION
PBDBRAL WAY, WA 9d063.971d
-Mue
ass-d,s s6o7• PAX253-05.260 F F EDERA
IT i4 joING DEPT. .
The following is requ. information —an incomplete application will not be accepted Please print.legibiy (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAR/PARCEL f
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
ti#wh -PoutapWf- kftft IVWd-00wq
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING . ❑ MECHANICAL
SUITE/UNIT# '//'
LOT SIZE (sj)
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
PROJECT. NAME (Name of Business or Oumer Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXIOTING USE
NAME
PRIMARY PHONE
MAMXG ADDRESS CITY, STATE, ZIP
OFFICE PHONE,�;
MAI IN LADDRES3
Cn'Y, STATE, ZIP
EMAIL ADDRESS
10e
LINO ADDRESS!cry,
, E, ZIP
PANY II{AME
APPLICANT NAMEL9.12
MAMXG ADDRESS CITY, STATE, ZIP
OFFICE PHONE,�;
�z 6�L--
FAX NUMBER
❑ Architect b Tenant ❑ Agent ❑ Other
-
LINO ADDRESS!cry,
, E, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR's REGISTRATION NUM13AR
IRATION ATE
EMAIL ADDRESS
2
2-3 o z
COMP NAME APPLICANT NAME
OFFICE PHONE
MAMXG ADDRESS CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect b Tenant ❑ Agent ❑ Other
( _
NAME PRIMARY PHONE E-MAILADDRESS
NAME
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 11 YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN D HIGHLINE
[i TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE D PRIVATE (SEPTIC)
Per RCW 19.97.098:
Lender information is required if project value exceeds $5,000
MAILINO ADDRESS
CITY, STATE, ZIP
/PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 11 YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN D HIGHLINE
[i TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE D PRIVATE (SEPTIC)
IN PROJECT ••
' AREA DESCRIPTION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
.EXISTING
8 '. FT.
PROPOSED
s
TOTAL
S . FT.
BASEMENT
o NO
ZONING DESIGNATION
FIRST
o YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP/sEPA/SU?
o YES
o NO
THIRD
a YES a NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE -0 CARPORT ❑
NUMBER OF FLOORS
Men"
rorminino"
Tor'am°ramsr
rorecsr
••NEW HOMES 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 futures 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 (.Tub/Sk..Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS po&, om sh*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
I TTT'C
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (C—rd q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS frooeq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& that to the best of my
knowledge, the information submitted in support of this permit application is true and correct I that I will eom
certU�l Ply with all applicable
City of Arderal. 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 iota/, 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 claimh 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 applicaa
SIGNATURE: DATE /,t>//
D
Owner and/or Auth nt
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/sEPA/SU?
o YES
o NO
PLATTED LOT?
a YES a 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 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
375.60
280.50
ALTEREDSINGLE/ 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 SERVICE
Service or Feeder Each Add'n
❑ 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
13 801-1000 amp 516.50 216.06
11Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ 4 of circuits to be Added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARI{
❑
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 SERVICE
Service or Feeder Each Add'n
❑ 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
13 801-1000 amp 516.50 216.06
11Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ 4 of circuits to be Added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARI{
❑
Residential/M iii -Family
$65.00
# of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommerefaWndustrial 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 SERVIMEQUIPMENT
❑ M of Thermostats
(First -$55:00; addh-$17.00/ea)
❑ Low Voltage
Square Feet to be served by systems)
❑ Fire Alarm'System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
1K 2500 ft2-$65.00;
Each add% 2500 ftp -17.00) *Per WAC29646910(5)jb)P 6 H)
❑ M of Signs
(First sign -$55.00; addh sign $26.00/ea)
U. Swimming pool/hot tub ................. $111.00
Acludes 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 k\liandouts\Permit Application