07-105756A
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
f - A
Mechanical Permit #: 07- 105756- 00 -ME'
Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APART S
Project Address: 30901 20TH AVE S 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 (4/7108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Addit anaFP6i* 'J farmAtion
Mechanical Valuation ................ ............................500
Over the Counter Permit ? .......... ............................Yes
Mech�tii IXtut`es .
Ducts............... ............................... 1 Fans................. ............................... 1
ET 192007 OCT 192007
- THIS CARD IS TO REMAIN ON -SITE
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105756 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30901 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
Date/Q 7-0 —07 By Date B Date%_ a
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVES _
OCT 1 6 2007 PERMIT SF MF CO ME EL PL DE EN PP
. COA0QXffDZYU0P1BNfSERY10Es
s a XWwAxwA qjo 97 a ELI �ATI N
/BDSRALWA$ wA 98069.97 IIiY QF FEDE
?5919S960TFAR ?s3ds & ?6d9 ®UILQING
The following is required information - an ineomptate application will not be accepted Please print. legibly (in inn or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL i - I -i
.LEGAL DESCRIPTION (e.g. Acme Estates, Lot.I)
Pxm+ ~jbrMwWrIWO d—O&i
LOT SIZE (s,7
TYPE OF PERMIT O BUILDING O PLUMBING K _MECHANICAL
O DEMOLITION O ELECTRICAL O _ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description on this permit onlul
PROJECT.NAME (Name ofBuginess or Owner Last Name)
PROPERTY' NAME PRIMARYPHONZ
OWNER Q ✓e— G I
MAILING ADDRESS CITY, STA ZIP E-MAIL ADDRESS
'51, /�v �g
CONTRACTOR
APPLICANT .
PROJECT
CONTACT
LENDER
EXISTING USE
ON7'RAC'1'GR
REGISTRATION NWM AK
COMPANY N O r ��
APPLICANT NAME
OFFICE PHONE -
MAIL '— •nnpvtty 1 CITY, STATE, ZIP
CELL PHONE
RE LA ONSHIP TO PROJECT /
FAX NUMBER
D Architect D Tenant o Agent o Other
NAME PRIMARY PHONE &MAIL ADDRESS
NAME
Per RCW 19.27.095r
Lender igformation is requ project value exceeds $8,000 .
MAILING ADDRESS
0177, STATE, ZIP
PH ONB
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? o YES/
VATER SERVICE PROVIDER 13 L EHA
CFtDF.R CF.ouTt r- DDAVT7IFA eVT.vA
FIRE SUPPt
• HIGHLINE
• HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
N SYSTEM PROPOSED /REQUIRED? o YES ❑ NO
gTACOMA 13 PRIVATE (WELL)
O PRIVATE (SEPTIC)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing f ctures to remain.
AZClIANIICAL
Value of Mechanical Work $ �' o (A EOPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA770fi)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS jorTubjshovrercombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOO SETS
LAYS (sahroom -*A
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS Ic..a.iq
RANGES
REMO. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS jrwi q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certW under penalty of perjury that I am the property owner or authorized agent of the property owner. I ow-AN that to the best of my
knowledge, the information submitted fn support of this permit application is true and comet. I sort(& that I will comply with all applicable
City of lhderal. Way regulations pertaining to the work authorized by the issuance of a permit 7 understand that the • issuance of this permit
does not remove the owner's responsibility for compliance with loea4 state, or federal laws regulating construction or environmental taws.
I further agree to hold harmless the City gf federal Way as to any claim (including costs, 'expenses, and atternsys' fees incurred in the
investigation and defense of such claim,►, which may be made by any psr#*N including the undersigned, and filed against the city, but only
when such claim arises out of the reliance of the city, including its officers and employes*, upon-the accuracy of the infoimation supplied to
the city as a part of this application.
SIGNATURE:
O
o ADDITION
a ALTERATION .
a REPAIR a TENANT IMPROVEMENT
ZW
DING SHELL ONLY?
o YES. o NO
BASIC PLAN?
C YES
o NO
ZONING DESIGNATION
CHAN4E OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a TES . o NO
UP /SEPA /SU?
o TES-
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin 4100 _ August 16, 2007 Page 2 of 4 . MandoutsTermit Application .