02-105149 • P
arrer RECFIVFLI CONSTRAION PERMIT APPLICATION
EIDEIMPIL_ APPLICATION NUMBER: - D 9 60
NOV 2nn? APPLICATION NUMBER:
APPLICAIIONNUMBM: - _ -
i 1YFEDET:' \IV A\t
**The following tisreftwirjediqformation—Please print(in ink)or type**
Please note: Eledrical,Fire Prevention Systems and Engineering permits may require a separate application.
$ PROPERTY INFORMATION
•
SITE ADORESQ 3t•5 -- (cm Plat P\CC€ ASSESSOR'S TIUC/PARCEL#: 5?, IQ 3 314 L
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
- • -- • • PROJECT INFORMATION
TYPE OF PROJECT(This application) 0 BUILDING 634LUMBING 0 MECHANICAL 0 DEMOLITION .-
0 ELECTRICAL 0 ENGINEERINGO FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desaiption): POD t dko LIU (AXIS
a5 r4e_eloi reci -Coe- ne4,0 ,5Acx.c.Ac:_, to "
PROJECT NAME: rO(Q OINIQ ApeW-k- roe,14 s
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: CIATTIPU PROM
Qom ) •
•-
. -
NAILING ADDRESS(STREET ADORES;C(TY,STATE,UP):
c15001.0 Zadoikr‘SWA ,*-300/ jt-4 karA
CONTRACTOR: NANE: DAYTIME PHONE:
1\- Ft( Vir`xc.. tnt, tacgoi-ibi -1991
MING ADORESS(srRerr ARDREss; SWF.ZIP):
P 0. c3oxWoe') OS i necatme, ( )
CRY OF FEDERAL WAY BUSINESS LICENSE NUNBEFt MUMMER:
CONTRACTORS*MORMON WNW EXPIRATION DATE
(0)p/af cani levied) A i- f.L. Epx 9:3_63 I / t7
APPLICANT: 1101& DAYTIME PHONE:
6ctroe, as cont-rack-m- ) -
MING AOORESS(STREET ADORER aft.STaE.ZIP): EVENING mom
(
RaATIOtiguP TO PROJECr: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): )
MA OR
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 11"corintAcroit
• DETAILED BUILDING INFORMATION
EXISTING USE EXISTING BUILDING ASSESSED/APPRAISED VAWATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRIFKLERW BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(V/ELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVFN fl sumo TNF n DRINIATC ftreinnnre.6
• **NEW RESIDENTIAL CONSTRUCTION AI** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
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 of 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 INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0-GAS
DRINKING FOUNTAIN(S) SHOWER(S) I WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best ofti 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(Sty 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,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. C
NAME/TITLE: \-1:4-1-1-4, 62UMP,4-64Ly1, IOP DATE: I —( 0 -
❑PROPERTY OWNER 0 APPLICANT OPEONTRACTOR
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253.661-4000•FAX 253-661-4129
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
0 0
Plumbing Permit #:02 - 105149 - 00 - PL
Project Name: FOREST COVE
Project Address: 30918 16TH SW AptA
Project Description: PL - (1) washing machine outlet for new stack laundry set
Inspection request line: 253.835.3050
Parcel Number: 122103 9141 11 a f
Owner
Applicant
Contractor
FOREST COVE -388 LLC'Cove -388 Llc 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
SEATTLE WA 98166
(206) 431 -1991
Plumbing. Fixtures
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 r and
the occupancy and the use will be in accordance with the laws, rules and regulations of thg and
the City of Federal Way. See
ApplicaHoli Nov x 8 2002
Owner or agent: Date:
CITY OF FEDERAL WAY
BUILDING DEPT.