07-105750a
City pf Federal Way Mechanical Permit #• 07- 105750 -00 -M E
Community bevelopment Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
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Project Name: FOREST COVE APARTMENTS
Project Address: 30901 20TH AVE SW9100 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
#I 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
{d (#lonaf Perm
ii )nfarr�'atr�
Mechanical Valuation ................ ............................500
Over the Counter Permit ? .......... ............................Yes
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1Vlachanlcal Fictures
Ducts............... ............................... 1 Fans................. ............................... 1
PERMIT EXPIRES Monday, October 19, 2009
Permit Issued on Friday, October 19, 2007
e information Is correct and that the construction on the above c
will be in accordance with the laws, rules and regulat+ons of the
and the City of Federal Way.
Owner or agent: ee Annlicatilnn-
and'
on
ica ' n
6 a
Date:
,'OCT OCT 192007
OCT 19007
-THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105750 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT B
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)
J Approved Approved to release test Approved
B < Date/ D "7i (D By Date Bye- - Date _ Z.
For inspector reference only _
O Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
PER1VlIT
CoMwXrrDSV%V? F p�iiAL WA`f SF MF CO ME EL PL DE EN FP
3332sdMAv$NUs 'LbING DEPT.
FXMU
WAY, W, APPLICATION
The following is required information - an incomplete application will not be accepted. Please print. legibly (in ink) or type.
SITE ADDRESS ilQ S j > SUITE /UNIT
ASSESSOR'S TAX /PARCEL LOT SIZE (s j)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(��•�r4wlbrl.awYhve1
TYPE OF PERMIT O BUILDING O PLUMBING. MECHANICAL
D DEMOLITION O ELECTRICAL D ENGINEERING ❑ FIRE PREVENTION MTEM
PROJECT DESCRIPTION (Provide detailed description + ^^M-fed on this permit onlvl
PROJECT-NAME (Name of Busine s or OwnerLast Name)
PROPERTY
OWNER
CONTRACTOR
l�
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING IISE
NAME
Sor
ve G
PRIMARY PHONE
c -
oS
MAILING ADDRESS CITY, SW//"d- f
' ` R Q,
E-MAIL ADDRESS
a
- w
RSOISTRATION NUiBSII `�
COMPANY N Q
APPGCANT NAME
OFFICE PHONE -
MAIL"'^ •rInDFAS I CITY. STATE, ZIP
CELL PHONE
C PH N8
R LA ONSHIPTO PROJECT !
FAX NUMBER
FAX KUMBSR
( ) - •
E-MAIL ADDRL98
COMPANY N Q
APPGCANT NAME
OFFICE PHONE -
MAIL"'^ •rInDFAS I CITY. STATE, ZIP
CELL PHONE
R LA ONSHIPTO PROJECT !
FAX NUMBER
o Architect 0 Tenant O Agent D Other
( ) - •
NAMB PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.97.098:
Lender information is requ project value exceeds $5,000
MAILINGADDRESSN
MY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? O YES
. 1
CATER SERVICE PROVIDER o jA9fHAVEN o HIGHLINE
SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
L
SYSTEM PROPOSED /REQUIRED? ❑ YES a NO
TACOMA 0 PRIVATE (WELL)
AREA DF,tiCRiP ON -EXISTING PROPOSED
In]
C�7.`7�e�� a lte7as 71e1:+t r ■
I NUMBER OF FLOORS I M109Ma I .%l� I 7UTA4 I MAI Ml rasr I aoru.ssaranssr I tenure, I
I •'NEW AVONES ONLY". NUMBER OF ROOMB ESTIMATED SELLWO ICE �
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Medumical Work $ (A COPY OF BID OR ESTWTE MUST BE INCLUDED WITH APPLICA77019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUT1E73
WOODSTOVE3
BBQS_
FANS
BIAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS Icmmrdp
o NO
COMPRESSORS
FURNACES
RANGES
o YES
DUCTS
GAS LOG SETS •
REFRIG. SYSTEMS
UP /8EPA /SU?
o YES.
o NO '
PLAT'T'ED LOT?
o YES o NO
BATHTUBS (orTtb /showrCombo)
LAVE yeah- -sw4
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER 3YST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS it i q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certVp under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerft that to the best of MIF
knowledge, the i4ormation submitted Iii support of this permit application is true and correeL I eerto that I will comply with all applicable
City of Tederal.Way regulations pertaining to the work authorised by the issuance of a permit 7 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 14"
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 claIY4 which maybe made by any person, including the undersigned, and Jiled 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 apart of this application. -
i' i�
SIGNATURE:
DATE
Property Owner d /orAutho ent
o
o NEW o ADDITION
a ALTERATION. o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
d YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDREOS REQUIRED?
o YE8 . o NO
UP /8EPA /SU?
o YES.
o NO '
PLAT'T'ED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 : August 16, 2007 Page 2 of 4 . WandoutsTeimit Application