07-105748y
• 'mik it
City of Federal Way Mechanical Permit #• 07- 105748 -00 -Mt
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30901 20TH AVE SWAMW Parcel Number: 122103 9141
Project Description: Install (1) duct and (1) fan for washer /dryer unit
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301 ST ST
1CONSC *9617G (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Additional :Permit -Information
Mechanical Valuation ................ ............................500
Over the Counter Permit ? .......... ............................Yes
" Mtichaltl�GtCl, ixturr fi n
Ducts............. N,. ............................... 1 Fans................. ............................... 1
PERMIT EXPIRES Monday, October 19, 2009
I hereby
the occ
will
on
Owner or agent: See Application
OCT 192007
he above deacrii d 'Proprtyr,and
tlons- -`bf the St6 of WasbirOon '
Date: See Ap p ii ion
MT 192007
THIS CARD IS TO REMAIN ON -SITE
C1rYOF Community Development .Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105748 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT A .
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 l � Date l 0 6/ ' By Date B Date,,/(, - Z `�
For inspector reference only _
D Rough Electrical D FINAL - Electrical
Approved Approved
` By Date By Date
& 0
7 - / 0
fWAaft by
OOYIIUMIYDEYELOPMENr.9EEYICES PERMIT �. SF MF CC (E�L PL DE EN FP
999 da �V ?WAr. 2&U35-2669 71t OCT P I GATT O N
FBDBRAL WAY, WA 48969.9714
CITY pF FEDERAL N
The following is required 101on DEPT,
ins co
1 ng 4 millets application will not be accepted. Please print.leoozy on ink) or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
+ ao� ,n +.�roaaro�J•bweVrhPo►a..o+v�n►
SUITE /UNIT # _ TI
LOT SIZE (3,7
TYPE OF PERMIT D BUILDING ❑ PLUMBING. MECHANICAL
D DEMOLITION O ELECTRICAL O ENGINEERING ❑ F= PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description -f. --k , - -h 4ed on this permit onlul
u i a� �,� r fit' S •
PROJECT- NAME (Name of Lks-i-nm or Owner Last Nara
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME O r ve_ LLC
PRIMARY PHONE
1rE-MAIL
MAILING ADDRESS
CITY, STA ZIP
ADDRESS
fOSTFAC101K
S
MMISTRATION fimbxIi
r
COMPANY N
APPLICANT NAME
OFFICE PHONE
0- , .S C�
PHONE
CELL PH NE
MAIL' I CITY, STATE, ZIP
• CELL PHONE
FAX NUMBER
i ) -
RZIATIONSHIP TO PROJECT I
FAX NUMBER
13 Architect O Tenant D Agent o Other
E-MAIL ADDRESS
COMPANY N
APPLICANT NAME
OFFICE PHONE
0
PHONE
-
MAIL' I CITY, STATE, ZIP
• CELL PHONE
RZIATIONSHIP TO PROJECT I
FAX NUMBER
13 Architect O Tenant D Agent o Other
( ) " - •
NAME PRIMARY PHONE E-MAIL ADDRESS
Z - 4691A 1
NAME
Per RCW 19.2.7. 0981
Lender information is req!Pnefproject value exceeds $5,000 .
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES
VATER SERVICE PROVIDER D HAVEN
SEWER SERVICE PROVIDER AKEHAVEN
FIRE SUPPR
• HIGHLINE
• HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK
SYSTEM PROPOSED /REQUIRED? D YES D NO
TACOMA O PRIVATE (WELL)
AREA DESCRIPTION
NUMBER OF FLOORS
•EXISTING
"NEWO02M ONLY**. NUMBER OF BAROOMS ESTIMATED SWINGG PRICE $-
TOTAL
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MCH"CAL v
Value of Mechanical Work $. b (4 COPY OF BID OR ESTIMATE MUST-BB INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS _ I FANS GAS WATER HEATERS T MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS 1c wwrc4
COMPRESSORS FURNACES RANGES
T DUCTS GAS LOO SETS REFRIG. SYSTEMS
BATHTUBS J9,7ub /shown Combo
LAVS W h...
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS R.wq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
D YES
I certify under penalty of perjury that l am the property owner or authorised agent of the property owner. I cw t(fg that to the best of my
knowledge, the tgformation submitted to support of this permit application is true and correct. I eerft that I will comply with all applicable
City of federal Way regulations pertaining to the work authorised by the issuance of a permit. `I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, 'expenses, and attorneys' fees incurred in the
investigation and defense of such ctatm4 which may be made by any person, including the undersigned, and filed against the city, but only
where such claim 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.
SIGNATURE:
D NEW o ADDITION
D ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN? '
o YES
o NO
ZONING DESIGNATION
CI3ANOE OF USE?
D YES
o NO
NEW ADDRESS REQUIRED?
D YES . D NO
UP /SEPA /SU?
D YES-
D NO
PLATTED LOT?
DYES D NO
DEMO PERMIT REQUIRED?
D YES
D NO
Bulletin # 100 _ August 16,2D07
Page 2 of 4 .
MHandoutsTern-dt Application