08-100794�`. .6-
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
4
10 Mechanical Permit #48- 100794 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS UNITS A C
Project Address: 30921 16TH PL SW P rcel ber: 1 39006
Project Description: Installing washer /dryer hook -up and vent in each unit.
Owner
Applicant
ontraciCe
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONS
1703 SW 309TH ST
918 S 301ST ST
ON JG ( /7/08)
FEDERAL WAX WA 98023-4389
FEDERAL WAY WA 98003
301ST T
AL #8003
Adis
Mechanical Valuation ................. ...........................1500
Ducts.......
C
�T Saturday, February 20, 2010
c►ithe ill Win acdance tta� rubs An rulainbf tht
S E AD-3 ca n ederal Vllay: - . SE
FEB 2 0 2008
� ...................... Yes
FEB 2 0 2008
f
COMA! AI YDEVELOPAMNr3BBVICAS
333458ftAV$NUE3OU7N -POBOX 9718
PBDMU WAr, WA 98063.9718
253. 535.9607- PAX 753.835. 2609
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The following is
RECEIVEFERMIT SF MF C M7EL PL DE E P
s 1 ARsPLI CATI O N ,�(!
�R�6 CDS W2np ate appication will not be accepted Please print,legibly (in inks or type.
8ITE ADDRESS SUITE /UNIT 9
ASSESSOR'S TAX /PARCEL 9 . '�� :� - i�� .j _ C C LOT SIZE (81)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot l)
(Aa %-P- b~f -lw* Yhedd -4fv"
PROJECT • •
TYPE OF PERMIT b BUILDING O PLUMBING MECHANICAL
0 DEMOLITION ❑ ELECTRICAL O ENGINEERING O •FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on ties permit ontul
PROJECT • NAME (Name of Business or Owner Last Namel
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
0 PEOPLE INFORMATION - r
NAME
PHONE
APPLICANT NAME
rIPRIMARY
MAIWNO ADDRESS'
CITY, STATE, ZIP
E-MAIL ADDRESS
�-EXPKRPMON
RELATIONSHIP TO PROJEM
COMPANY NAME
C
.
a
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE, �,�„ay
PHO 8
�-EXPKRPMON
RELATIONSHIP TO PROJEM
CrrrOF FEDERAL WAY B 8!9-88 LICENSE NUMBEi— DATE
FAX NUMBER
CONTRACTOR'S RBOISTRATION NU
X"IRATION D TZ
Z-MAILADDRZSS
//
COMPANY NAM-
APPLICANT NAME
OFFICE PHONE
-
MAIWNO ADDRESS
CITY, STATE, ZIP
CELL PHONE
Q
_
RELATIONSHIP TO PROJEM
FAX NUMBER
D Architect o Tenant O Agent o Other
( _
NAME PRIMARY PHONE E-MAN. ADDRESS
NAM-
Per RCW 19.7.7.096:
Lander information is required {t project value exceeds ;6,000 .
MAN INO ADDRESS
CITY. STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISLD VALUE VALUE OF PROPOSED WORK $
SPRUMBRED BUILDING? p YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES ONO
WATER SERVICE PROVIDER O LAKESAVEN D HIGHLINE O TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE O PRIVATE iSEPTICI
Indicate number of each type of fixture to be installed or relocated as part of dds project. Do not include Wdgtino Arr,.rRQ to ,b,.,.,;..
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
D
a ALTERATION
(A COPYOFBID OR ESTIMATE MUST BE INCLUDED W/THAPPLICATIONJ
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
PANS
GAB WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS (cmmndq
FURNACES
RANGES '
GAS LOG SETS
REMO. SYSTEMS
BATHTUBS (.,nb /se.. C. " LAVS (B. b ..m sere,.(
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS _ SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ros.q
WASHING MACHINES.
MISC (Describe)
I owt{ fy under psn&U# Of P"Jury that I an the property owner or authorised agent the —
knowl -ke, the b{formation submitted in support of this ag ProPWV oamen I eert(& that to the best of my
City of hderai Way regulations permit application is true and osmoA I cert4fy that I will oompw with all appticab[s
pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, slaty orfoderal 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 cla&N, which may be made by any person, including Me undersigned, and filed against the city, but only
whore such ekim arts" out of the reliance of the city, including its ofJieers and employees, upon the accuracy of the Information supplied to
the city as apart of this application.
SIGNATURE:
S =a
a NEW a ADDITION
a ALTERATION
o REPAIR q TENANT IMPROVEMENT
BUILDING SMELL ONLY?
o YES a NO
BASIC PLAN?
a. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
a YES
a NO
FATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100— January 1, 2008 Page 2 of 4 .MandoutsTermit Application