07-105804t �
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
S ,
Electrical Permit #: 07 -105804 -00 -EL
Project Name: FOREST COVE APARTMENTS
Project Address: 30909 20TH AVE SW Unit B
Project Description: Adding (2) circuits for washer/dryer unit
Inspection Request Line: (253) 835-3050
' Parcel Number: 122103 9141
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
r Additional Permit Information
Service greater than 1000 Amps?...........................No
Ele+ tricai FExtuir`es
Circuits - Multi Family ................... 2
PERMIT EXPIRES Mon
Permit Issued on Fridg
I hereby certify that the above information Is erect and ti
the occupancy and the use w��,e c���
Owner or agent:
;OCT 192007
October 13, 2008
Ictober 19, 2007
to construction on the above described property and
s, rules and regulations of thtate of Washington
(ral Way. §160
Application
Date:
;OCT 192007
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105804 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit B
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.
❑ UFER Ground (4295)
Approved
By Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
❑
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
jBy
Approved
Approved
By
Date b_
Date
Date �� Z
❑ UFER Ground (4295)
Approved
By Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
C"00A t::,o CEIVED
ar.IW,b.V PERMIT -- ------
00NWM1YDEFE60PIlWSARVICES_ 2007 SF MF CO M EL L DE EN FP
999?6dBRAL IUr,WA 9•PO9718 � ; s pLI CATI O N
FEDERAL WAY, X 53435- 6 6 �P
X59-d9b1607•FAX759-Q95-?609
,���k d°'°r��e IT'i 0� t_- .gERAL
iNG DEPT.
The following is regA.tir{�ormation -an incomplete application will not be accepted. Please print.legibiy (in ink) or type.
SITE ADDRESS _ �%� �� i � L SUITE/uMT g
ASSESSOR'S TAR/PARCEL — — — _ — — — LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
N0wh ~firkvVwkpddooWwq
PROJECT• •
TYPE OF PERMIT ❑ BUMDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION j(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of workincluded'` on this Permit onlul
PROJECT NAME (Name of Business or Owner Last Name1
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
NAME
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS
MAILING ADDRESS
CITY, STATE, ZIP
EMAIL ADDRESS
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'8 IBTRATIOIf NUMBER
C PANY N E .
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
T , ZIP
6
L PHONE
G'('/Z -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'8 IBTRATIOIf NUMBER
ERP TION ATE
EMAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
). _
NO AD ESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant o Agent a Other
NAMEPRIMARY PHONE EMA[L ADDRESS
AME
Per RCW 19.2.7.095:
Lender information is required I/project value exceeds X61000
MAILING ADDRESS
U7. --STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
ii TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••- AREAS
AREA DESCRIPTION EBISTING
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
PROPOSED
s . FT.
TOTAL
SO. FT.
BASEMENT
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIRST
HOODS (eo�erelal(
CHANGE OF USE?
COMPRESSORS
SECOND
RANGES
a YES a NO
DUCTS
THIRD.
REFRIG. SYSTEMS
PLATTED LOT?
PLUMBING '
ADDITIONAL FLOORS (DESCRIBE)
o YES
a NO•
BATHTUBS (.,Tub/shove Oomb4
DECK (0 COVERED OR ❑ UNCOVERED?)
URINALS
MISC (Describe)
DISHWASHERS
GARAGE -(3 CARPORT 0
VACUUM BREAKERS
DRINKING FOUNTAINS
NUMBER OF FLOORS
merge
rsoro•ss
Toru.
mnusunsrosr
roret~wansr
rorusr
••NEW HOAM 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 mus • BE INCLUDED WITH AppLIC,ATT017
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
HBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (eo�erelal(
CHANGE OF USE?
COMPRESSORS
FURNACES
RANGES
a YES a NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLATTED LOT?
PLUMBING '
DEMO PERMIT REQUIRED?
o YES
a NO•
BATHTUBS (.,Tub/shove Oomb4
LAVE (Bdh.. sink,)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS freuo
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cenft that to the best of my
knowledge, the irVormation submitted in support of this permit application is true and correct. I Certo 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' foes incurred in the
investigation and defense of such clatm� 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 a part of this app If n.
SIGNATURE: ? , A DATE _e D « d
rty Owner and/or)KtFw&d Agent
a NEW o ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
a YES a NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
a YES ONO
DEMO PERMIT REQUIRED?
o YES
a NO•
Bulletin 11100: August 16, 2007 Page 2 of 4 . MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300112- $111.00; Each addh 500112- $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)
Residenttat/1Kuitt Family $65.00
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201- 400 amp
149.50
74.00
13 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.60
280.50
ALTERED SINGLE/MULTI FAMILY
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; Addh circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOME_3
❑ 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
❑ 801-1000 amp 516.50 216.00
L3 over 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
❑ over 1000 amp 471.00
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Addh 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
13#
Residenttat/1Kuitt Family $65.00
of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommereiaWndustriai Service or Feeder Ampacit y
❑ 0 - 100 amps $ 74.00
❑ 1.01- 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 systems)
❑ Fire Alarm system
❑ security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
In 2500 112465.00;
Each addh 2500112-17.00) *Per WAC296.46970i5Xb)#&ii)
Bulletin #100 -August 16, 2007
Page 3 of 4
❑ # of Signa
(First sign -$55.00; addh sign $26.00/ea)
❑•Swimmiag pool/hot tub... .............. $111.00
(Includes 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
k\Handouts\Petmit Application