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02-105521 City of Federal Way Electrical Permit #:02 — 105521 — 00 — EL 'C'orrunwiity Development Services 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: 30928 16TH SW AptA Parcel Number: 122103 9141 Project Description: ELE-Adding(2)new circuits for laundry set and fan/light combo Owner Applicant Contractor Forest Cove 388 LLC A-1 ELECTRIC&PLUMBING INC(ELECTRI A-1 ELECTRIC&PLUMBING INC(ELECTRI 1703 SW 309TH ST. PO BOX 66965 PO BOX 66965 FEDERAL WAY WA SEATTLE WA 98166 SEATTLE WA 98166 98023 (206)431-1991 Electrical Fixtures ka:r,! ,:_' Ei l? g t� 'tom•.,�7..t 75704A0:4'041000010140046* c....,., . . Circuits-Multi Family 1 PERMIT EXPIRES June 8,2003,IF NO WORK IS STARTED. Permit issued on December 10,2002 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. See Application Owner or agent: Date: Z — �—z— favi .vt k rc)-d — "z. �� epr dv-e� cs O c `) J Wit c � ON CONSTRUCTION PERMIT APPLICATION/ Jjç)E1FI_ RECECp gYDEPAR7MEN-T APPLICATION NUMBER: Da - 1126-x2.1 - b'� APPLICATION NUMBER: - - -r - DEC 0 200 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. nn ■ PROPERTY INFORMATION SITE ADDRESS: 3 C CIA( ( — 1 1.0 P I . ASSESSOR'S TAX/PARCEL#: 4 c„7 _l - 914 L LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION L�ELEC1RICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM • PROJECT DESCRIPTI• (Provide detailed description : 9 t1 0 0 111_ So \M • 0 V C 1-0 d.L Er ..tMi,_, �• wi # i4- • at •o . . I�, PROJECT NAME: � Q S Ci )e A c' ' ,r\# ■ PEOPLE INFORMATION PROPERTY OWNER: ice: DAYTIME Fo -e S - ao J� ( ) NAILING ADORESS(STREET ADDRESS;aTY,STATE,ZIP): g5oO 5w ZAAADuf Y J 3O0 1 pafk 1oto„ 97a-t . CONTRACTOR: NAME: (� DAYTIME moire L Q NAILING ADDRESS�A p�; T'�ZIP) � J ��C. 1 E ow - i� / J EVENING PHONE: P. ©. BoX b(egb5j nect4tc WA ciS16 (o ( ) QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: PI - 1_0_ 41117 - . (Xb ) 0724(m -0001 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DAM (copy ofcad e c E EZ '. 2 41 I. APPLICANT: NAME: DAYTIME PHONE. Same Cls e nk-kca cADt ( ) MAILING AOOR SS(STREET ADDRESS;CMG STATE,ZIP): EVENING PHONE: ) REIATIONSHIPTO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) / E-MAIL ADORES: PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT L!'CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVFN l KUM/TNF fl °DT%FA1 ice•.. .:, . **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ -= ■ PRO3ECT 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) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) BFIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSORS) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 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(including costs,expenses,and attorneys'fees Incurred in the Investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim 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/1TTLE: 'I(LL L L lip DATE: /9 -9-0 ❑ PROPERTY OWNER 0 APPLICANT/ CONTRACTOR ' FOR OFFICE USE ONLY 1,..c.,4,,,- J F'AUDITION ALTERATION= Q R"` 1`.D TEN I I ROVEMENTEf T`'„N *-...4.•+P=.s'rr."aTmd`'- '"'. '�' ori SHv.��. 3r • I:G 'ESIGNA,TION .: '`I Y;RU LDIING ELLTONLY? ❑''YES 0 NO ;COMPS, 7DESIGNATION. ' ;' 'EASIC PLAN? IDiYES ❑ NY0 `L $_e- ON a',,y; TOWNSHIP RANGE wEW?AOTORES RE•UIRED? ❑YES ❑ NO =PLATTED LOT? 0"YES 0 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 wwww•citvoffedesatway.com • - - ■ ELECTRICAL • TABLE B NEW RESIDENTIAL SERVICES • MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family • __Service or feeder only • $50.00 _II of Thermostats(First-$37.50;add'n-S 11.50ca) (First 1300 I12-575.00;Each add'n 500 ft'-$24.00) _Scrviceand feeder , $81.00 II of Low voltage lire or burgla1 alarms • Square Fat:- First 2500 fi'-$43.50•Each add'n 250011'-$11.50 _Each outbuildingor garage $31.00 MOBILE HOME/RV PARK • Square Feet: • (Inspected with service) _SI of service or feeders • • Per WAC 296-46-910(5)(b)(i&ii) _Each outbuildingor garage $50.00 (first service/feeder-S50.00;Add'n service/ • _I%of Signs(First sign-S37.50;add-n sign - (lnspeeled separately) feeder-S32 each) $17.50 cads) Swimming pool,hot tub,spa $75.00 Yard)'ole 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 S 24.00 Fcedcr _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 S 81.00 S 50.00 _601- 1000 284.50 401-600 amp 138.00 68.50 _101.-200 101.00 63.50 _over 1000 317.00 T 601-800 amp 176.50 94.50 _201-400 189.00 75.00 _b of circuits -_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-5 circuits-563.50;Add'n circuits,$5 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 FeederOver 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 S 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 It of circuits _over 600 109.00 (1-4 circuits-550.00;Add'n circuits S5 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(D) TOTAL COLUMN(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee 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)4-(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)