02-101609 1
City of federal Way Electrical Permit #:02 - 101609 - 00 - EL
Community Development Services
2;'30IstW)yS
Federal Way,WA 98003-6210
Ph .:53 661 4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE
Project Address: 1804 SW 308TH UnitD Parcel Number: 122103 9141
Project Description: ELE-Install dryer circuit&fan circuit
Owner Applicant Contractor
FOREEST COVE-388 LLC*Cove-388 Lk Fore AC ELECTRIC SERVICE AC ELECTRIC SERVICE
9500 SW BARBUR BLVD UNIT 300 AC ELECTRIC SERVICE AC ELECTRIC SERVICE
PORTLAND OR 97219-5427 20012 35TH AVE S 20012 35TH AVE S
SEATAC WA 98198 (206)478-1657
Electrical Fixtures
L Descltion . Quantity t Description JQuantity " Description !Quantityl
LCircuits-Multi Family 2
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
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: Date: 7/Z 2/0 2-
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City or Federal Way
Community Development Services Electrical Permit #:02 - 101609 - 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
Project Address: 1804 SW 308TH UnitD Parcel Number: 122103 9141
Project Description: ELE-Install dryer circuit
Owner Applicant Contractor
FOREEST COVE-388 LLC*Cove-388 LIc Fore AC ELECTRIC SERVICE AC ELECTRIC SERVICE
9500 SW BARBUR BLVD UNIT 300 AC ELECTRIC SERVICE AC ELECTRIC SERVICE
PORTLAND OR 97219-5427 20012 35TH AVE S 20012 35TH AVE S
SEATAC WA 98198 (206)478-1657
Electrical Fixtures
DeSa l s tior014:,47a -,:;'; s $I**l Elescription
Circuits-Multi Family 1
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
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 .. •rdance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
V/6
Owner or agent: f` Date:
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RECEIVED _ CONSTRUC I ION PERMIT APPLICATION
\>\> FlyAPR APPLICATION NUMBER: 02- L a 1_ 6 v-a
-
APPLICATION NUMBER: - I-
C1IYOFFEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
**The following is required information—Please print(ih ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
= ■5=PROPERTY INFORMATION • -• - - -
S
Q� `0ASSESSOR'S
-:� 8 L
SITE ADDRESS:
P
()lJ
`T � TAX/PARCEL #: L Z 2. �o 3 - l g t
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PRO3ECTINFORMATION .•. - - . . - - :
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
Ca ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
I
PROJECT DESCRIPTION(Provide detailed description): t VISiQ 1) otr(Tr c i t c I.t i 1' *" fa,1
PROJECT NAME:
■ PEOPLE INFORMATION - • .
PROPERTY OWNER: NAME: DAYTIME PHON
FE
o res+ Cave (2S3 ) SF - - u
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP).
31004 11 L 51N ) J- vc L L✓A y WA Tr'(r0 23
CONTRACTOR: NAME' DAYTIME PHONE:
i4c E izarr c t -vi'Gc (JoL) 47,3' -I6S 7
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
Z o O I Z 35 /}V S Sic Ya c W✓* ?S/?.1
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER
- - (706 ) 87S - o-,/
CONTRACTOR'S REGISTRATION NUMBER: _ /1 EXPIRATION DATE:
(copy of card required) A C E L C S Z 2 -7 ' 1�jj z it / 11 / 03
APPLICANT: NAME DAYTIME PHONE
( ) I
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE
( )
RELATIONSHIP TO PROTECT' FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ISS CONTRACTOR
1 "DETAILED BUILDING INFORMATION . _ .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: [] LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
-- ■ PROSECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. ' _ PROPOSED SQ.FT. TOTAL
• BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES • -
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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 supp •. t• the city as a part of this application.(/v DATE:� t�
NAME/TITLE: f e. ()
❑ PROPERTY OWNER ❑ APPLICANT L11' )NTRACTOR
-FOR OFFICE USE ONLY: I
'O.NEW `=:_ ❑ ADDITION ❑ ALTERATION = ❑ REPAIR ❑ TENANT IMPROVEMENT
'CENSUS CODE: _ LOT SIZE: _ - -
• ZONING,DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
-COMP-PLAN DESIGNATION BASIC PLAN? - ❑ YES ❑ NO -
SECTION_ . _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000-FAX:253-661-4129
www.otvoffecleralway.com