02-101248 r �w
Cr'y of Fedtrai Way
Community Development Services Electrical Permit #:02 - 101248 - 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: 1710 SW 311TH UnitB Parcel Number: 122103 9006
Project Description: ELE-Install outlet for dryer and install fan switch
Owner Applicant Contractor
Forest Cove-388 LIc AC ELECTRIC SERVICE AC ELECTRIC SERVICE
1703 SW 309TH ST AC ELECTRIC SERVICE AC ELECTRIC SERVICE
FEDERAL WAY WA 98023-4389 20012 35TH AVE S 20012 35TH AVE S
SEATAC WA 98198 (206)478-1657
Electrical Fixtures
Description, Quitity ' " " Description . )Quantity x;"Description, 'Quantity
Circuits-Multi Family 2
PERMIT EXPIRES September 21,2002,IF NO WORK IS STARTED.
Permit issued on March 25,2002
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: 3/2-.510 Lw74(( &06/2— tor i2,?-?rt- C fisc
, ( _ 0 2- Wit 1( co d -- �
Z F2).%/71 L A & —
tri eizpQ 4236 —I)
6/6
CONSTRUCTION PERMIT APPLICATION
• APPLICATION NUMBER:
9fjI?ZF1LRy pZ- f O� 2�( trC�
APPLICATION NUMBER: - -
APPLICATION NUMBER: -**The following is required information—Please print(h1 ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- - . !PROPERTY INFORMATION = . . ..• - .
SITE ADDRESS: 1,110 13 'II S+• SUV ASSESSOR'S TAX/PARCEL #: 1 Z Z 1 3 - 9 o o h
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1.•, PROSECT INFORMATION • , • : . -
TYPE OF PROJECT(This application): ,❑,/BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
LV ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 'h ctQ I1 6,14 '104 -For dote,.
�yiSta ll ePcin14
1-5761 !
PROJECT NAME: -1-2)(e-$1.--
-
. • - ■-PEOPLE INFORMATION : • '
PROPERTY OWNER: NAME: DAYTIME PHONE:
1o>zEsr GovE (2S3 ) 8'38 -7400
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3100 19 PG S w FedcYa/ Way ?1D17
CONTRACTOR: NAME.
G E(Qc re Se rVC C.� DAYTIME PHONE:
(206 )1,74k -16c7
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
zov12 3S ,4V S Seoctac W14 ?8//9t ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER.
(701 )87r -d5d/6.
CONTRACTOR'S REGISTRATION NUMBER. EXPIRATION DATE:
(copy of card required) AC E L• E SV- 7. 2. 1# 137- 1 Z I / 03
APPLICANT: NAME:
Elcc7Ti/c. SerVt c-c. DAYTIME PHONE:
(?,oG ) 411 -167
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP). EVENING PHONE:
Lod I2 3S R v f -JcaTac GVH' Pti'
RELATIONSHIP TO PROJECT FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ 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 ❑ 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: $ '
• . . - -- IN 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 UNITS) 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: D 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 suppli to the city as a part of this application.
NAME/TITLE: , 3(2.67o 3 DATE:
3/Z.s�/3
/
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY: I
J❑.NEW.. _'-. 0 ADDITION ❑ ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: - LOT SIZE: _
ZONING,DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
-COMP-PLAN DESIGNATION _ BASIC PLAN? -- 0 YES ❑ NO -
i :=SECTIONy1.F_ -__, TOWNSHIP RANGE:- NEW-ADDRESS.REQUIRED?• _ -_0 YES. 0 NO
-PUITTiD 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.citvoffederalway.com
• • ELECTRICAL '
TABLE B • ,
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only • $50.00 _ti of Thermostats(First-$37.50;add'n-$I I.50ca)
(First 1300 ft2-$75.00;Each add'n 500 ft?-$24.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
•
• Square Feet: first 2500 ft2-$43.50;Each add'n 2500 ft2-SI 1.50
- _Each outbuildingor garage. . .... . ..$31 00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) _k of service or feeders ' I'cr WAC 296-46-910(5)(h)(i&ii)
_Each outbuilding or garage- $50 00 (First service/feeder-550 00,Add.n service/ - _k of Signs(I irst sign-537 50,add'n sign
(Inspected separately) feeder-532 each) $17_.-0 each)
Swimming pool,hot tub,spa $75 00
-
Yard Pole meter loops .. -.- ---.$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200.-- . .-- .._- . - --.- S 81 00
_Up to 200 amp.. .... .$ 81 00 . -. -$ 24 00 Feeder 201 -600 . . .. . 189 00
_201-400 amp.... ...... 101.00. ...50 00 0 to 100 . .. .... 5 81.00.....$ 50.00 _601 - 1000 . ... . . . - 284 50
401-600 amp 138.00...............68 50 _101-200..... ...... .... 101.00 63.50 _over 1000..... .......... ............ ..317.00
_601-800 amp 176 50 ... 94.50 _201 -400............ .... 189 00.. 75.00 _k of circuits
_Over 800 amp 252.50 189.00 _401-600. 220.50 88.50 (1-5 circuits-$63.50,Add'n circuits,S5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services) _801-1000..................348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000. ..............379.00 - -. 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp .-.-.S 68.50 _Over 600 volts surcharge. 63.50 0- 100........................................$ 50.00
_201-600 amp 101.00 _Mast or meter repair ................68 50 _101 -200...................................63.50
_over 600 amp.................... ... ..... 151 50 _201 -400.. .. . .. ... . 75.00
_Mast or meter repair...-..- .. ... . ..37 50 _401-600... ..... - . . - 101 00
#of circuits over 600 - . .... 109 00
of/I-4 circuits-550 00,Add'n circuits$5 ca)
If service is greater than 200 amp.a plan review is req'd Fee is 35%of permit fee+563 50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(0)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit lee from line 12
Estimated Plan Review Fee: $63.50 + ( X.35) = (13)
- . - - • DEMOLITION ' - . - . . . • '
Estimated Permit Fee: (14)
Bond Amount:(15)
. -. •■ ENGINEERING :-• • - - - _ _ . - . . - . . -
Estimated Permit Fee:(16)
Bond Amount: (17)
- - -- - . - • - - . - . ■ OTHER FEES -•
Mitigation Fee:(18) (20) (22)
SBCC Surcharge: (19) (21) (23)
# Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-January 18, 2002