10-103507City of Federal Way EleArical
Community Development Services Permit #: 10 -103507 -00 -EL
P.O. Box 9718
Federal Way, F : (253) 718
835- Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 P q ( �
Project Name: FOREST COVE APARTMENTS
Project Address: 30813 18TH PL SW
Project Description: Mast meter repair
Parcel Number: 122103 9142
Ownr
Aoolicant
Contractor
FOREST COVE -388 LLC
M C ELECTRIC
M C ELECTRIC
12000 NE 8TH ST SUITE 200
27313 135TH AVE SE
MCELEL*990KC (5/3/11)
BELLEVUE WA
KENT WA 98042
27313 135TH AVE SE
98005
KENT WA 98042
Is Use Educational or Institutional? ....................... No
Mast or Meter Repair (Residential/ 1
PERMIT EXPIRES
Permit Issued on
I hereby certify that the above information is correct
the occupancy and the use will be in accordance w
Q, nnrl fhedC
Owner or agent:
Service greater than 999 Amps? .............................No
mday, August 16, 2011
iday, August 16, 2010
that the construction on the above described property and
e laws, rules and regulations of the State of Washington
if Federal Way.
Date:
PIK $/i(*po
CrrY OF
Federal Way
PERMIT #:
• THIS CARD IS TOMAIN ON-SITE
Construction Ins ction Record
INSPECTION REQU TS: (253) 835-3050
10 -103507 -00 -EL
Address: 30813 18TH PL SW
Owner: FOREST COVE -388 LLC FEDERAL WAY, WA 98003-4921
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.
'nal - Electrical (4055)
Approved`' // j
By Date& / `/ _/05
El
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
'nal - Electrical (4055)
Approved`' // j
By Date& / `/ _/05
El
Pool Bonding (4195)
❑
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)Ceiling
Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
'nal - Electrical (4055)
Approved`' // j
By Date& / `/ _/05
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
J i
CITY OF `A ���
Federal Way ELEC'T'RICAL
PERMIT APPLICATION AUG 16 2011'
CITY OF FEDERAL WAY
**Most electrical nermits may he obtained on-line at www_ eitvoffederalwav_cnm**
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 will comply with
all 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 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 ci4y as apart of this application.
SIGNATURE: �',. - DATE
PRINT NAME:
333258 1h Avenue South ♦ PO Bos 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 # 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 UHandouts\Electrical Permit Application
PROPERTY INFORMATION
SITE ADDRESS:
SUITE/UNIT/SPACE #
ASSESSOR!/S TAB/PARCEL #
CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
PROPERTY OWNER
NAME ..
�� �� ,` /V
PRIMARY PHONE
( ) `747L`
MAILUIG ADD"
WMAM
CITY
/ --11!�_. Ey r.C.
STATE
Lc. 4(
ZIP _
FAX
*ELECTRICAL
CONTRACTOR
NAME .
PRIMARY PHONEMAILING
ADDRESS,�z,�
7 3 i - / ^—�h'/" `
r�� �lr'��7^, yL� Pf�4.
CITY
STATE
ZIP/
( FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
s—
,,., e 6 1 k -I C
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-TyyIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
r � "� r �j
PRIMARY PHONE
(. � � _ •,
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 will comply with
all 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 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 ci4y as apart of this application.
SIGNATURE: �',. - DATE
PRINT NAME:
333258 1h Avenue South ♦ PO Bos 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 # 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 UHandouts\Electrical Permit Application