02-1019870 0
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name: FOREST COVE APARTMENTS
Plumbing Permit #: 02 - 101987 - 00 - PL
Inspection request line: 253.835.3050
Project Address: 30909 16TH SW UnitB Parcel Number: 122103 9141
Project Description: PL - Installing new washing machine. THIS IS FOR UNITS B & D.
Owner
Applicant
Contractor
FOREST COVE -388 LLC *Cove-398 Lie Forest
A-1 ELECTRIC & PLUMBING INC
A-1 ELECTRIC & PLUMBING INC
9500 SW BARBUR BLVD UNIT 300
PO BOX 66965
PO BOX 66965
PORTLAND OR 97219-5427
SEATTLE WA 98166-0965
SEATTLE WA 98166-0965
1
1
1 (206) 431-1991
Plumbing Fixtures
PERMIT EXPIRES November 11, 2002, IF NO WORK IS STARTED.
Permit issued on May 15, 2002
1 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:
W'� &
Plumbing rough-in:
Water line:
FINAL PLUMBING:
Date: '5-- /-S-- C) -.-x
P
Date:
Date-
Date:
RECEI`tIE— ;-
;°� CONSTRUCTION PERMIT APPLICATION
uV � - MAY 1 5 2OOZ APPLICATION NUMBER:
CITY OF FEDERAL WAY PPLICATION NUMBER:
BUILDING DEPT. PPLICATION NUMBER:_
* *The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: Ci� Q ( ,� ''I, (p j�C �` ASSESSOR'S TAX /PARCEL #: j- Q— < - L
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING KPLUMBING ❑ MECHANICAL ❑
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENA0K SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
P
AI P �--,
i
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
g5on 5L'L' '-k-�r! ;._Yl.0 t ��) [, �L� �C(r r( C7 �7 i �{ °� "I"'
NAME:
DAYTIME PHONE:
IT
MAILING ADDRESS (STREET ADDRESS; ITY,
sTATt, ZIP):
EVENING PHONE:
C>1 C6
CITY OF FEDERAL WAY BUSINESS LICENSE
UMBER:
FAX NUMBER:
- Q -a t_ ':L:
4 crO7
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
A L E �' :S Sj
L / 17
'5 cZi`x\"�- CA-s -
MATLING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR I
BUILDING DETAILED • • •
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $_
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
� I, odYla33
* *NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
s�
AIR HANDLII# UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MIsc ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
DiSCLOiMER /SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
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 claim), 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 city, including its officers and employees, upon the accuracy
of the infornation supplied to the city as a part of this application.
NAME /TITLE:
❑ PROPERTY OWNER ❑ APPLICANT
DATE: S' / V' D 9
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 •253- 661 -1000 • FAX: 253-661 -4129
www.dtvoffedmlway.com