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City Of Federal Way
Community Development Sernces Electrical Permit #:02 - 101612 - 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: 30915 17TH SW UnitB Parcel Number: 122103 9006
Project Description: ELE-Install dryer circuit&fan circuit
Owner Applicant Contractor
Forest Cove 388 LLC AC ELECTRIC SERVICE AC ELECTRIC SERVICE
1703 SW 309TH ST. AC ELECTRIC SERVICE AC ELECTRIC SERVICE
FEDERAL WAY WA 20012 35TH AVE S 20012 35TH AVE S
98023 SEATAC WA 98198 (206)478-1657
Electrical Fixtures
,'- ,,,` Description. Quantity 14ft -Description. , : 1Quantity :'- , Description Quantity]
Circuits-Multi Family V 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: /2„.....„.-- „,....---",.......----------
Date: y/2 L/(J L
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' City L�°Federal Way
Community Development Services Electrical Permit #:02 - 101612 - 00 - EL '1
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: 30915 17TH SW UnitB Parcel Number: 122103 9006
Project Description: ELE-Install dryer circuit
Owner Applicant Contractor
Forest Cove 388 LLC AC ELECTRIC SERVICE AC ELECTRIC SERVICE
1703 SW 309TH ST. AC ELECTRIC SERVICE AC ELECTRIC SERVICE
FEDERAL WAY WA 20012 35TH AVE S 20012 35TH AVE S
98023 SEATAC WA 98198 (206)478-1657
Electrical Fixtures
1
Description ,` ;'IQ,ianJ l scription' 1Quantity Descri•tion?;- v *'. :.Quanti
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 wil be in accordant= 'th the laws,rules and regulations of the State of Washington and
the City of Federal Way. /
V
e C
Owner or agent: / _ / �_- - Date:
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ECC
. .. c °F CONSTRUCI ION PERMIT APPLICATION
•
v\> FtyEI L RECEIVED APPLICATION NUMBER: 0Z-- L (31 1j j Z-eO_
APPLICATION NUMBER: - -
APR ] 6 2C2 APPLICATION NUMBER: - -
**The following is re��qudirdinformation—Please print(h1 ink)or type** •
Please note: Ele c �� r kr Nj stems and Engineering permits may require a separate application.
- - • -- - -■I PROPERTY INFORMATION --' . • - -
SITE ADDRESS: 3 0 9 1 7 A 1 6 P L 5 w ASSESSOR'S TAX/PARCEL #: 12- 2-k23_9 004
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): v
,;' t -.'-'..-•;" . _ - -.. , . _i R. PROJECTINFORMATION _ . . -.,;. . : . , . - . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
UELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4415Y-vi I( dir- r,,f f
PROJECT NAME:
_ ., --- . - _ - .. _ ■-PEOPLE INFORMATION . . .. -. _ . . . . - .
PROPERTY OWNER: NAME.
DAYTIME PHONE'
Forst* Co',z (7S3 ) 83Z --Moo
MAIUNG ADDRESS(STREET .
ADDRESS;CITY,STATE,ZIP)
31004' lq +" PL 5W F roll Wyly p8d23
CONTRACTOR: NAME. DAYTIME PHONE:
A- . 6. -tit Scrvtc-g (2vo ) tf78 -/ s'7
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Zoo i Z 3S- .03-v s see Tc c wxv ?.rk!4; ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER FAX NUMBER
. X - (7i0b) 87£x- 0116
CONTRACTOR'S REGISTRATION NUMBER: _ _ ( �(, �J I/S� �] �1
(copy of card required)
/�" G C L t S /�[ 17- ✓ a `EXPIRATION/DATE.3 t / Q3
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP)' EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT l ONTRACTOR
---' • - -- ' -`,.n "DETAILED BUILDING INFORMATION ' = -. . :
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE LI 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: _ _ ,
■ 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 1
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 th city as a part of this application. //,,
NAME/TITLE: DATE: (//JJ V Z- '
❑ PROPERTY OWNER ❑ APPLICANTONTRACTOR
-FOR OFFICE USE ONLY:
ICI 416-14;::::',7f.:--=❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT - -
CENSUSCODE: - - 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.atvofTederalway.com