02-105525s 0
City of Federal Way Plumbing Permit #: 02 - 105525 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE
Project Address: 1910 SW 309TH AptB Parcel Number: 122103 9141
Project Description: PL - Provide hot /cold & waste as required for new stack laundry
Owner
Applicant
Contractor
Forest Cove 388 LLC
A -1 ELECTRIC & PLUMBING INC (ELECTRI
A -I ELECTRIC & PLUMBING INC (ELECTRI
1703 SW 309TH ST.
PO BOX 66965
PO BOX 66965
FEDERAL WAY WA
SEATTLE WA 98166
SEATTLE WA 98166
98023
(206) 431 -1991
Plumbing Fixtures
Laundry Washer Outlets 1
PERMIT EXPIRES June 8, 2003, IF NO WORK IS STARTED.
Permit issued on December 10, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See IiC -tine Date:
Rtil¢%Ni J✓�
COMMUNITY RE�QPE� DE
DEC Z 0 2002
• P L-
CO_NSTR_U�TION PERMIT APPLICATION
Wrho following is required information — Please print (in Ink) or type **
Pieria note: Electrkal, Rre Prevention Systems and Engineering permits may require a separate application,
SITE ADDRESS: 1`z `Q C Q� ASSESSOR'S TAXIPARCEL #z ,a
LEGva DESCRIPTION OF S=Wr PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PRO.ECT (Talc monk ❑ Btmmum em.L isI m O Mm"mcm ❑ DENOUTION
❑ ELECTRTCft ❑ ENOINMMMG❑ FIREtmEVENIION SYSTEM
PROTECT DESCRIPTION (Provlde detailed desrp�iPftr 1f�t { i Ci 1 Q
CONTRACTOR:
mar - .`
■ PEOPLE INFORMATION
Dame, t ( )
IMp�IG �DOItZSS (SiREETADORESS; UiY, STATE, IIPj: EYAYIIGt�F1011E;
NUATIOPOWTO PRWECT. FAX
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
�� // EPUILEOON1
CONTACT PERSON FOR THIS PR07ECT: O PROPERTY OWNER
11 APPLICANT [?'CONTRACTOR
EXIS7IN0 BU ILDINO ASSESSED /APPRAuM VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR $
SPRING FRED BUnDINQT ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HI(,TiLi 4E ❑ TACOMA ❑ PRIVATE ((ELL)
SEWER SERVICE PROVIDER; ❑ LAKEHAVFN n itt"P imp n oorvwTO ioc..r11%
* *t4F-W RESIDENTIAL CONSTRUCTION
NUMSEROF BEORUOMS:
iWTIMATW SELLING PRICE:
EXISTING . FT.
PROPOSED . FT.
TOTAL.
[tASEMENT'"LOO'
ST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:*
Indicate number of each type of frxtYre
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) WOOD OYTEM(S)
88Q(S) FAN(S) HOOD(S)
BOILERS) FIREPLACE INSERTS) RANGES) MISC. ( 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
�w DISHWASHER(S) RAINWATER SYS. VACUUM BREAKERS) .❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) _ 1.._ WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
i •
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 daim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the dtyi Including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME f TITLE: C,4�� / V DATE: ZD :9 0
Q PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253.661.4000 - FAX: 2S3-661 -4129
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