07-105810City of Federal y Electrical Permit #• 07 -105810 -00 -EL
Community Developmentpment Services •
P:®: Box 9718
Federal Vyay, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS r ,T
Project Address: 30909 20TH AVE SW Unit C 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
F'1-
'TH S' CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105810 -00 -EL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit C
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)
Date
❑
Pool Bonding (4195)
❑
Approved to place concrete
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
❑ Temporary Power (4275)
Approved
By Date
❑ Rough Electrical (4225)
Approved
By _NWDate
❑ UFER Ground (4295)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
For in!ector_reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Orr up -7Z-
Rdeirafthy. RECEIVE PERMIT — — — — — —
00MMJMTYDSYEI.0PMWSERV= SF MF CO ME "L DE EN PP
3392JP ¢NUS, WA 999718 d a.0 T
9,LI CATI O N
wiadmMmlirmass 59-W&2607• PAX?53.9354609
giTY OF FEDERAL WAY
The following is required il&iiiQiWQ1 aWrlcomplete application will not be accepted. Please print.kgibbj On ink,) or type.
SITE ADDREss _ SUITB/UNIT # �!
ASSESSOR'S TAR/PARCEL # . — — — — — — — — _ — LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING . ❑ MECHANICAL
❑ DEMOLITION kf ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
PROJECT. NAME (Name of Business or Owner Last Namel
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS, 3T TS IP
v
MAILING ADDRESS -,STATE,
ZIP
E-MAIL ADDRESS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOIBTRAT10R TION DATE
ANY AM ✓
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS, 3T TS IP
v
PHONE
z
FAX NUMBER
❑ Architect b Tenant ❑ Agent ❑ Other
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOIBTRAT10R TION DATE
E-MAIL ADDRESS
7
COM NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS cTrY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect b Tenant ❑ Agent ❑ Other
) _
NAME PRIMARY PHONE E-MAIL ADDRESS
RAME
Per RCW 19.27.095:
Lender in formation is required { j project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, TIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $, VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYS'T'EM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
80. FT.
TOTAL
SQ. FT.
BASEMENT
D YES. o NO
BASIC PLAN?
o YES
FIRST
ZONLNG DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES D NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO -
DECK (O COVERED OR ❑ UNCOVERED?)
GARAGE 0 CARPORT O
NUMBER OF FLOORS
aa�1eO
*
7074
ronwsarrarosr
rorwLrsarorassr
mr ar
••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 fixtures to remain.
Value of Mechanical Work $ to OF BID OR ESTIMATE MUST • BE INCLUDED WITH APPLICA770NJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/showvcombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (s.ouoom si ko
RAINWATER SYST
SHOWERS
SINKS
SUMPS
east,
1'TTTE
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerciap
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (ramp
WASHING MACHINES
WOODSTOVES
MISC (Descn'be)
MISC (Describe)
I certVy 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 information submitted in support of this permit application is true and correct. I eerft that will comply with an applicable
City of Federal 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 local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of rederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such cialmh 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 thio application.
SIGNATURE: 7. DATEO / a/O
Property Owner / uthorized Agent
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUII.DING SHELL ONLY?
D YES. o NO
BASIC PLAN?
o YES
o NO
ZONLNG DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES D NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO -
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add'n 500 112- $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)
❑ 0 to 200 amp
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
Service or Feeder
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ over 600 amp 225.50
A --Z-# 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
❑ 801-1000 amp 516.50 216.06
L3 over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ * of circuits to be added/altered
(1-5 circuits - $94.50; Add% 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 PARK
❑4 of service or feeders
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; Add% 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 PARK
❑4 of service or feeders
Res1deittiaVHU1i:t Famt
5'�
(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
❑ #e of Thermostats
(First -$55:00; addh-$17.00/ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm' System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
13
1- 2500 ft1-$65.00;
Each add% 2500 112-17.00) • Per WAC 29G46910(S)(b) i a N)
❑ #! of Signs
(First sign -$55.00; addh sign $26.00/ea)
❑ Swimming pool/hot tub. ................ $111.00
(lnchtdes 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 11100 -August 16, 2007 Page 3 of 4 klHandouts\Permit Application