08-100546 N.
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ay PERMIT —
3258n,COMMUTYDBVBLOPMRM'SBRVICBS FFR (1 1 20Q8 SF MF COilb L PL DE EN FP
333758TMAVBNUBSOUTH•POBOX 9718 AppLI ¢T�/'�
FEDERAL WAY,WA 98063.9718
753.835-2607•FAX 753.835.7609 4J E RA L D AY r
laww,atttolferlemtwau.am /
The following is required information-an incomplete application wiu not accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS_ - �% •�s' d i
A .
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# /: :)-- / ,•.,? 7G,C,//'
` � LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
10-5 if S (Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING n MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) . ��`-
MI PEOPLE INFORMATION
/OWNEPROPERTY NAME f5i =c7 -
R ('C PRIMARY PHONE
MAILING ADDR L E-MAIL )PHONE
-
,. CITY,STATE,ZIP E ADDRESS
CONTRACTOR COMPANY NAME
APPLICANT NAME OF CE‘1,311
PHONE
MAILINGADDREHS G/I`���-'Crcetz TATE 1/ Y' rJ 1 J 7
r CITY,STATE,ZIP -
CELLPHONE�r _ �*
O FEDERAL WAY BUSINESS LICENSE NUMBER (PNtA ATE (21 R1 ?
FAX N MBAR
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
C'orC/S'C 7e(/j C /oif
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS �� CITY,STATE,ZIP �ELL PHONE
RELATIONSHIP TO PROJECT
--C-.0-'r �'/t�d�
0 Architect 0 Tenant 0 Agent 0 Other FAX NUMBER
( ) -
PROJECT I NAME I PRIMARY I E-MAIL ADDRESS I
CONTACT
)
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds;5,000
MAILING ADDRESS CITY,STATE,ZIPP
- IHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? b YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- ■ PROJECT FLOOR AREAS
/
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
27uMO rsorwso TOTAL TOTALsxrerwoer ro7ALPROPOS=sr TOTAL sr
NUMBER OF FLOORS
*'NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECIIA1VICAL
Value of Mechanical Work$ Cs-CJ L.' t (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(CoromerdaQ
COMPRESSORS FURNACES
DUCTS. RANGES
GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/ShowerCombo) LAVS(Bathroom Shako) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roast)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
• SIGNATURE •
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 certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with Iocal,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 claim), 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 apart of this application.
SIGNATURE: / ' DATE ' C)
Property Owner and/or Authorized Agent L
..1"t(a)t-7"ai")_i(Ela:11146 6)p`p tie'
o NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
'
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #4.18- 100546 -00 -ME
Project Name: FOREST COVE APARTMENTS UNITS B D
Project Address: 30908 16TH PL SW
Project Description: Installing washer /dryer hook -up and vent in each unit.
;Id
Mechanical Valuation ................. ...........................2000
.FEB 0 5 ZUUU
Inspection Request Line: 253) 835 -3050
- .. ... ............................Yes
. February 5. 2010
f the of _ i-
s }
Date: See Applicati
FEB 0 5 2008
r • _ THIS CARD IS TCLREMAIN ON -SITE
C,TY'oF *Communi ty Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100546 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30908 16TH PL SW
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections maybe 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 Date o _o _ By Date By a Date e ..1-5 -a%
For ins ector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date