07-105743City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
r- a
Mechanical Permit #: 07-105743-00-ME
Project Name: FOREST COVE APARTMENTS
Project Address: 30917 20TH AVE SW
Project Description: Install (1)duct and (1) fan for washer /dryer unit
Inspection Request Line: (253) 835 -3050
Parcel Number: 122103 9141
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301ST ST
1CONSC *961JG (417108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
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Mechanical Valuation ................ ............................500 Over the Counter Permit ? ...................................... Yes
McChan10alixtukes. '
Ducts............... ............................... 1 Fans................. ............................... 1
ST 192007
described Wq and
e State of Washington
Sea A plicarn
OCT 192007
THIS CARD IS TO REMAIN ON -SITE
Cl" OF _ ` � Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105743 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit D .
FEDERAL WAY, WA 98003 -4921
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date to - 2 By Date B Date,//—"2.
For infector reference only
❑ Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
rl'&IaIW, AY RECEIVEp PERMIT
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9J625Ift AP¢NDE sou191- PoBOX 9711
rXMU WAY, WA 9:061.9711
951d1S ?607*FAX25343$4609 OCT
Thi following is
SITE ADDRESS
s APPLICATION
SF - MF CO E 9L - PL DE EN PP
4*S4neomplete application will not be accepted. Please print•legibl<y (in ink) or type.
WIWN=
ASSESSOR'S TAX /PARCEL i j
SUITE /UNI'P #
LOT SIZE (s)7
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING O PLUMBING CHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provde detailed description ^r -o „ *>r i —hosed on this permit onlul
(A) � Derta A-
PROJECT. NAME (Name of Bus ni g or Owner Last Name)
PROPERTY NAME PRIMARY PHONE
OWNER Foresi Cove- G
MAIUNO ADDRESS �. CITY, 8TA ZIP E-MAIL ADDRESS
�G!lIGG g
CONTRACTOR
yi
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
ffo&1y.
ffr
OC
I1NESS CZAQN 1 -Sd zXPIRATIO T FAX NUMBER
RE019TRATION RVAUSA
COMPANY
APPUCANT NAME
OFFICB PHONE -
mAIL.un AnnRmq I CITY. STATE, ZIP
• CELL PHONE
RELATIONSHIP TO PROJECT /
FAX NUMBER
O Architect O Tenant O Agent O Other
( -
L. i4gayl. 61n) I IV] 6 gA
NAME PRIMARY PHONE E MAR ADDRE89
NAME -
Per RCW 19.97.096,
Lender information is reguftsdoproject value sxeseds ;6,000 .
MMUNG ADDRESS
Cn1f, STATE, ZIP
PHONE
(
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK
SYSTEM PROPOSED /REQUIRED? D YES O NO
WATER SERVICE PROVIDER O LA-�HAVEN O HIGHLINE NQJACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER JnAXMUVEN O HIGHLINE D PWATB (SEPTIC)
- s
.EXISTING I PROPOSED I TOTAL
SECOND \
DECK
NUMBER OF FLOORS
"NEW ROOMS ONLY**.. NUMBER OF BX&OOM6 ESTIMATED SELLING PRICE �t-
Indicate number of each type of f%ture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
NZCllAMCAL
Value of Med umical Work ,�_ � (A G`OPY OF BID OR ESTIMATE MUST BE AYCLUDED WITH APPLICA av
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQ9 FANS OAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS IGW
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS • REMO. SYSTEMS
BATHTUBS (x'Nb /shewrcembq
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS pmh—shekel
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS �_ MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS tr wq
�— WASHING MACHINES
I esrt(ly under penalty of perjury that I am the property owner or authorised agent of the property owner. I eerft that to the best of my
knowledge, the igformation submitted IA support of this permit application is true and comet. I sort(& that l will compk with all applicable
City of Aderal.Way regulations pertaining to the work authorised by the issuance of a permit. 7 understand that the issuance 4/ this permit
does not remove the owner's responsibllity for compliance with local, state, orlederat lave regulating construction or environmental 14ws.
l flurtlurr agree to hold harmless the City of federal Way as to my claim (including costs, 'expenses, and attarnsys' Jees incurred in the
investigation and defense of such alai*;, which may be made by any person, including the undersigned, and flied against the city, but only
where sueh.elaim arises out of the reliance of the city, including its officers and employees; upon•the accuracy of the infoimatten supplied to
the city as apart of this application.
7
SIGNATURE:
o NEW o ADDITION
a ALTERATION. .
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
6 YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
G YES
a NO
NEW ADDRESS REQUIRED?
a YES . o NO
UP /SEPA /8U?
o YES.
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin #I 00 r August 16, 2007 Page 2 of 4 . MandoutsTelmit Application .