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02-1019977 City of Federal Way Community Development Services Electrical Permit #: 02 -101997 - 00 - EL 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: FOREST COVE APARTMENTS Project Address: 30909 16TH SW UnitD Parcel Number: 122103 9141 Project Description: ELE - Adding 2 circuits for new wiring to new laundry room. Owner Applicant Contractor FOREST COVE -388 LLC'Cove-388 Llc Forest A-1 ELECTIC & PLUMBING INC A-1 ELECTIC & PLUMBING INC 9500 SW BARBUR BLVD UNIT 300 PO BOX 66965 PO BOX 66965 PORTLAND OR 97219-5427 SEATTLE WA 98166 SEATTLE WA 98166 (206) 431-1991 Electrical Fixtures Circuits - Multi Family 2 PERMIT EXPIRES November 11, 2002, IF NO WORK IS STARTED. Permit issued on May 15, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: \Sat&t % 2 L,L, L04 h cyto(_ Date: s —1 s 0 Rough -in inspection: 6-f �—, Z 2 "v 2_ Date Service inspection: _ Date FINAL inspection: Date en °FG DECEIVED CONSTRUCTION PERMIT APPLICATION * - PPLICKRON NUMBER: _ - _ _ _ MAY 1 5 2002 APPLICA17014 NUMBER: - _ _ _ _ CITY OF FEDERAL WAY APPLICATION NUMBER: _ _ - _ _ _ _ _ _ _ _ ** BQ 19%ih d0h6%-&fired information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: �b U l� '-1(G ��, i ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION E -LECTRICAL 11ENGINEERINGENGINEERING[]FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: Txe.�-15i -& •POCL(-k-(N�'C' 4 - OWNER: CONTRACTOR: NAME: DAYTIME PHONE: - MAILING ADDRESS (STREET ADD • QTY, STATE, IIP): - �s�o ons+ Soo , p�(k 1coc Dx 4 '74 jCj NAME: DAYTIME PHONE: - ( W 43 i - [mo i MAILING ADDRESS (STREET ADDRESS; QTY, STATE, IIP): EVENING PHONE: CrfY OF FEDERAL WAY BUSINESS LICENSE UMBER: FAX NUMBER: Q- I_ / 1 -S 3- - _©Q (t7L' %) c� C Via- cx ' CONTRACTOR'S REGISTRATION NUMBER: <�PY of card requ;red> L_� - � �J �_ _ EXPIRATION DATE: 4 / / /o y APPLICANT: NAME: DAYTIME PHONE: 3ir_� /(- ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT 11OTHER( DESCRIBE): FAX ( NUMBER. E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ffid CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ 90 ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS I FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT _ FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) 'iSCLATMER/SIGNATURE BLC I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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 application. NAME/TITLE: ✓lRD - DATE: I LI ' d ❑ PROPERTY OWNER ❑ APPLICANT 4CONTRACTOR OOMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129 www.dhroffederalway.com