07-105752h
City of dean Development Mechanical Permit #• 07- 105752 -00 -ME
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 SW 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 301ST ST
1CONSC *961JG (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
AiddltlOtlal p6rt111t lnOrrinatiOn "
Mechanical Valuation ................ ............................500 Over the Counter Permit ? ...................................... Yes
I her
the
Owner or agent:
will be in accordance with the laws, rr
See A'�Ofica. ` � on
OCT 192007
the above described pope and
Lions of the S of Vtirton
Date: See Applicaen
LCT 192007
• THIS CARD IS TO REMAIN ON -SITE .
c1fl OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105752 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT C
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,41- Date kb v7 By Date By y —S Dater/ (,– z.�
For inspector reference only _
D Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
s l Wra
m1 PERMIT --- - -
c 0mmUJeJYDEVZWP>uexrsZRWCW SF ' MF CO �L PL DE EN PP
33325 eft AY$H[JE, WA 9S 3-971 97Je O C T 1 APPL,ICATION'
FSDEINL WAY, WA 9 - PO B711
2MI- CIS-2607• FAX 25343S-2669
�T UILDINR DEPT,
Ths following is require >Yi{f ormation — an incomplete application will not be accepted. Please print.legibly (in "or
lyps.
ASSESSO'R'S TAX /PARCEL ii C , ! o 1
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AftnA &W-ivW@ Jbr ImWhY fwd d--1V#wJ
LOT SIZE (s)?
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING , MECHANICAL
0 DEMOLITION O ELECTRICAL O ENGINEERING 13 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description + „^H•asd on this permit onte�
PROJECT. NAME (Name of siness or Owner Last Nam el
PROPERTY
OWNER
CONTRACTOR
NAME
or � ,Ve. G
PRI RY PHONE '
I c -
MAILINO ADDRESS
CITY, STA ZIP
&MAIL ADDRESS
/f �j> mot' /S"%/�f /l'�'7r if.,�i -! i 1���.iC/r . i,.,��� s'.•4'' <'.::. _ S c? _ .
1„ Aanlwno wDDA
1 F EI
exrraAt?hea�
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
RM15TRATIOR hUdBXR
STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( FAX NUMBER
o Architect ❑ Tenant ❑ Agent ❑ Other ( -
NAME PRIMARY PHONE &MAIL ADDRESS
Gam.
NAME
Per RCW 19. 095,
Lender information is ragu-04virglect value a weds $5,000. '
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
EXIS'T'ING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES
V/ATER SERVICE PROVIDER O L TiA
QF[I/A!D AFDVTt+F DDnATMV77 ATP- -! A
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPP SION SYSTEM PROPOSED /REQUIRED? ❑ YES O NO
• HIGHLINE TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ ATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
SECOND
THIRD
•EXISTING
TOTAL
NUMBER OF FLOORS I "1"06 I ./rQ1vF0 I MAL I �'°'''a12 1 8? I rorstrswasmsr I rorASr
* "NEW /,TOMES ONLY". NUMBER OF
ESTIMATED- SELLING
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furtures to remain.
MECIIAMCAL C
Value c f Mechanical Work $ a (A COPY OF BID OR ESTAIIATE MUST BE INCLUDED WITH APPMCATIOM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS 1or7ub /showrcombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
_ FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVE (e-m. w,*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
OAS WATER HEATERS
HOODS (co ..miA
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS Irw.q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
� MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I owtj& that I will comply with all applicable
City of Yederai.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 ownses responsibility for compliance with local, state, or federal laws regulating construction or snvlrom non.tal laws.
I,further agree to hold harmless the City of Fedsral Way as to any claim /including costs, expenses, and attorneys' fees incurred in the
investigation and defense cf such claiml, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arisse out of the reliance of the city, including its ofjlcsrs and employees; upon-the accuracy of the information supplied to
the city as apart of this application
SIGNATURE: DATE ��
Property Ownefaiid/crAuthorkicWent
o NEW a ADDITION
a ALTERATION..
a REPAIR G TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES . o NO
UP /SEPA /SUP
o YES.
a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO.
Bulletin # 100 -- August 16, 2007 Page 2 of 4 . MandoutsTermit Application .