02-102395 Co ,.n Community
Development
Way Electrical Permit #:02 - 102395 - 00 - EL
Community Development Sernces
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
Project Address: 1617 SW 309TH UnitA Parcel Number: 122103 9006
Project Description: ELE-Circuit repair work in existing apartment unit.
Owner Applicant Contractor
Forest Cove-388 Llc FULL SPECTRUM LIGHTING SERVICE FULL SPECTRUM LIGHTING SERVICE
1703 SW 309TH ST 9304 N LAKE DR SW 9304 N LAKE DR SW
FEDERAL WAY WA 98023-4389 LAKEWOOD WA 98498 LAKEWOOD WA 98498
(253)222-8433
Electrical Fixtures
Descripttpn' ' IQuaritity --. - - -2-.Description (Quantity . Description Quantity
Circuits-Multi Family 4
PERMIT EXPIRES December 4,2002,IF NO WORK IS STARTED.
Permit issued on June 7,2002
•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. n
Owner or agent: 7v/h , Date: 6, 7 [/ 7--
L-
L- 0— a Z .L, il& k ePD may
O
RECEIVED
` . ""° - CONSTRUCTION PERMIT
APPLICATION T1 f f�L jt ( iL Uc APPLICATION NUMBER: C2Z- - /(> -_3_GLL _ 'J
ku
CITY OF FEDERAL WAYAPPLICATION NUMBER: - -
BUILDING DEPT, APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
•
- • ■ PROPERTY INFORMATION
SITE ADDRESS: /6i7 S'-fJ �� 7 'UmyIT , ASSESSOR'S TAX/PARCEL#: ( 2-2- G o3 - g0 %
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): f�
= = ■ PRO3ECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
zi ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): i• I s A. , , 4 A 1 .4 eJA
PROJECT NAME: ( .g
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ...._, DAYTIME PHONE:
n s ,ct CD 1),e 4 p tC- (zc3) 38 -7c40
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE: [7�
MAILING ADD LL 5�DRESSGCSTI',STATE,ZIP):k am T-Z� eI' l (?5-3) 2z1 g• 3�
EVENING PHONE:
I/<- DE< (. .
CITY F WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Qt - / J0 / 21S? - 6 L? (Zs3)s/ - 3j,
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy ofcard required) C L L s s 6 L ‘ Z S- / ?, 6 /a
APPLICANT: NAME:
DAYTIME PHONE:
4SSC,� � ( H -
MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 'CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NQ
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .$
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- " ■ -DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: eP:151— (
DATE: 6 - - 0 C 7
€ 0 PROPERTY OWNER APPLICANT RI CONTRACTOR
[,
F . R'OFF10E USE ONLY:_k1
i lE1N = j%1DDIRUN;** >❑ ALTERATION ,l REPAIR :4 �i'T£NANTIMPROVEMENT,. _
;
• SUS.cOOE' 3I _Y - ' _,x = _ 3 l ... 'H =
Oi!iI:frGSIGNATQ n` f. ff E -O .__ <..,
_ BU�I:OINGSIi L��(VI.Y?; I�fFS`,:flaT10 = ���_Q
P' ESIGNTIOXC ( ? 'YES1 O :_ f
SECTION -`TOWNSHIP `>RANGE _ _ N ADDRESSREQUIRED?":` C]$DYES I3 NO;
SLOT?_ ❑YES :❑�NO - , cHAGE'OF USE {_ C7 YES :QjU ` -:-.:'S__,..,7.;::_
COMMUNITY DEVELOPMENT SERVICES_•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
r