02-105144City unFederal Way
Community Development Services Plumbing Permit #:02 - 105144 - 00 - PL
33530 1 st 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: 30914 16TH SW AptA Parcel Number: 122103 9141
Project Description: PL - Provide washing machine outlet for stack laundry set ,
Owner
Applicant
Contractor
FOREST COVE -388 LLC'Cove -388 Llc Foresl
A -1 ELECTRIC & PLUMBING INC
A -I ELECTRIC & PLUMBING INC
9500 SW BARBUR BLVD UNIT 300
PO BOX 66965
PO BOX 66965
PORTLAND OR 97219 -5427
SEATTLE WA 98166
SEATTLE WA 98166
(206) 431 -1991
Plumbing Fixtures
Laundry Washer Outlets 1
sc
r�
PERMIT EXPIRES May 17, 2003, IF NO WORK IS STARTED.
Permit issued on November 18, 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. See Application RECEIVED
Owner or agent: Date:
� C�i�✓ NOV � 8 2002
2 to FRO V" ` CITY OF FEDERAL WAY
BUILDING DEPT.
a"°' CONSTRU &ON PERMIT APPLICATION
�EIr�IL ill 1':: CATION Nurlsat:
CITY OF f'EDERAL WAY CATION - -
BUILDING DEPT. CATION.NlJMR: - -
"The following is required Wormation - Please print (in Ink) or type **
Please note; Eiechiml, Fire Prevention Systems and Engineering permits may require a separate application,
,�•� �^� • • INFORMATION r� ii i
SITE ADDRESS: I � 1 � - {'� ASSEgSORS TAX/PARCEL #: E 1 � ` -9 J- I_
LEGAL DESCRIPTION OF SUBIECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY
PR03ECT INFORMATION
TYPE OF PRQ7ECT (This applieWon) . ❑ BUILDING 0" MG ❑ MECHANICAL ❑ ooKuTION
❑ ELECTRICAL (3 ENOINEC-RING❑ FIRE PRz-vmnoN SYSTEM
PR )ECT. NEON (Pm" detailed d 1" u esc ii:41m): -.uSke-,:
PRoxc � Cbqa A ter-- t ` ,_s
PEOPLE INFORMATION
PROPERTY OWNER: i DAYYW PHONO
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❑ ARCHIi'Ecr ❑ TENANT ❑ OTHER (OESCRISh): ( ) -
�/ E•MAILAODRESS'
CONTACT PERSON FOR THIS PRo7ECT: ❑ PROPERTY OWNER ❑ APPLICANT C14com Acmit
D BUILDING INFORMATION
EXISTtNG USE~ EXISTING BUILDING AS.SESSEDJAPPRALSEO VALUATION �
PROPOSED USE: PROPOSED VALUATION FOR IM ROVEHENTS2 $
SPRIiWCLEREO BUILDING? 13 YEs 0 No FIRE suPPRESS1toN sYSTL#t PftoPOSED/REQUIRw: Q yes ❑ NO
WATER SERVICE PROVIDER: O LAKEHAVER D HiGHME ❑ TAcom ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 13 LAKEHAVM n for -30 cart r l *~A,r=.K..r....
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Gl-fy CAF.EDERAL WAY
BUILDING DEPT-
PL,
CONSTRU&ON PERMIT APPLICATION
1wimcomoy Numsm. d o2 --I -Q�LL--q s-
"MCAU00 todmwt
**The faffewing Is mquired inlonusklon — Please print On Mk) or type **
PM" nOW Ellectrical, Fire Prevention Systems and Erqkww*W pwmfts may require a separate appikatlom
PROPERTY INFORMATION
SITE ADDRESS; Z()qlL, Ig 7, (07 OCL ASSESSOR'S TAX/PARM
qJ4.L
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)
PROPERTY OWNER:
cowmcrop-.
■ PROTECT INFORMATION
1
OjraoRlfl, A
■ m
PEOPLE INFORMATION
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MAT MADDIESSWREErAVORESS CRY STATEZIP).
EVENING"WN&
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CAI,
aFY OF FEDERAL WAY 9WRES LICENSE NUMM
FAX
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CONMACM" "ammmm witem
("VQ(cwft~ .6 E p -1 q Tls —
DMAVION DAM
I I I I L7- / 0':�
[,.O.ARcmn5cr 0 TENANT 0 OTHER (DESCRIM.-
E44ALADORM'
CONTACT PERSON FOR THIS PROTECT: 0 PROPERTY OWNER 13 APPLICANT 1VM"ffRAC!FOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAZED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR VEMENTS:
SPRINIMAWEDBUILDna? El YES 0 no FIRE Rx"mmom sysrm PRoposw/REQuvtw,.- O YN E3 NO
WATER SERVICE PROVIDER: 0 LAKE"AVEK 0 HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PR011Mou 0 LAKEHAVM n if VW#r n 0~sLVw rcvm--
..
*'ANEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING sq. FT.
PROPOSED SQ, FT.
TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL
..
Indicate number of each type bf fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACES)
DUCi(S) GAS PIPE OUTLETS) HEAT SOURCE: 11 ELECTRIC El GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
ER /SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC O•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
h edigation 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 daim arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
of the information supplied to the dty as a part of this application.
NAME%TITLE: �J/`� � r! p DATE ��� %�-0
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
CX)MMUNLTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDEM WAY, WA 98063 - 9718.253-661 -4000 • FAX: 2S3 -661 -4129