01-104737 -, . ., ,. i .. ri
City of Federal Way
Community Development Services 'Electrical Permit #:01 - 104737 - 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 APARTMENTS
Project Address: 30909 16TH W U,i tB Pi sin) unit-4 Parcel Number: 122103 9006
Project Description: ELE-Altering up to 4 circuits for work in car-damaged apartment unit#B
Owner Applicant Contractor
Forest Cove-388 Llc*Forest Cove-388 LIc* 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 i
C'a- ' 6 cline
Electrical Fixtures
De; cripti ti l ,, a_ w t uahtity Description T b dQuantity =4D'eSaii0 oh IlQuantity
Circuits-Multi Family j 4
PERMIT EXPIRES June 11,2002,IF NO WORK IS STARTED.
Permit issued on December 13,2001
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 agen• _ _ /J ,7 Date: / 2- /2-0/
moi:
o AC. w(l /( ( j - am /7 — /7 o i r` `_
SZ_C G0CO Ititear0/VI / — — e cD
(11\97-E- o 714-cc S . M A', PA- /Li,try P/0 7_ R t- P -1„" 0--P 1-1--&--
„.._______---,
-C.&'
c -6Z-12/ !-- �' aI.772-r4G 2 tf- 3-'649 p
1 r ori g e,' f0.2,4t-►lLf c.o'-o-( 17 e_ 1.--)•Ai 4-1, a , -Cie
tOC ,til til � ( �
r r
ti
•
JPZFIl_.
CONSTRUCT I ION PERMIT APPLICATION
•
f�Y APPLICATION NUMBER: DI ILl�j3J-OL)
vu, « ` Q®r\ APPLICATION NUMBER: -
APPLICATION NUMBER:
UT, Bur.t.IG DEPT**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.
(/ F/ PROPERTY INFORMATION .
SITE ADDRESS: 3 o, n ?C ) (6 P L . < ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): F0 r('���C,6 J C
PROTECT INFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
l?l ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): pQ,p,ff�
PROJECT NAME: drat Cfsvt.
PEOPLE INFORMATION
PROPERTY OWNER: NAME: T y) �" DAYTIME PHONE:
MAILING ADDRESS(STREErA RESSS;QTY,ST ZIP): ( )
CONTRACTOR: NAME: DAYTIME PHONE:
1% L SR C+rte E/e.� COW"-, lzS3 )2 -,3/3J
MAILING ADDRESS(STREET ADO ;CITY,STATE,ZIP): EVENING PHONE:
pi, eJA.? 97f (2r2 )222- -FQ3..?
OF FEDERAL WAY BUSINESSLIsWil NUMBER: FAX NUMBER:
(
- ,s3) " )/ - 83/7
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(Cody of cara required) t L S Cj /2g
APPLICANT: NAME: DAYTIME PHONE:
o�' MAILING ADDRESS(�ET ADDRESS;;CITY ATE,ZIP) � ) VE NING)ONE :
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT fAT 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)
•r
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. ITOTAL
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 COOLERS) GAS LOGS) REFRIG.SYSTEMS)
BBQ(S) FANS) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGES) misc.( )
COMPRESSOR(S) FURNACES)
DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) ❑ 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 maybe 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 informatiolupplied to the as a part of this application.
NAME/TITLE: , l�C j G:`f 44 �' t_ kl t' DATE: / �" /
❑ PROPERTY OWNER ❑ APPLICANT AT CONTRACTOR
"I'-'1'
OR OFFICE USEONLY:
'� NEW ..140111:0 ADDITION ❑:ALTERATION fl'„REPAIR :❑ TENANT IMPROVEMENT.
CENSUS CODE. LOT SIZE ,..
ZONING,DESIGNATION BUILDING SHELL ONLY? ..❑YES ❑ NO
-COMP PLAN-DESIGNATION • BASIC PLAN? YES`y.Q NO
SECTION _ TOWNSHIP RANGE --:•T•. NEW,ADDRESS REQUIRED? , :i :!,,:',;,-;:.0.YES - ❑•=NO
:PLATTED LOT?':_ ❑YES: 1 NO CHANGE QF 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