07-105784} City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835-2607 Fax: (253) 835-2609
L 1
+y
Plumbing Permit!!: 07- 105784 -00 -PL
Project Name: FOREST COVE APARTMENTS
Project Address: 30909 20TH AVE SW�
Project Description: Install washer /dryer unit (1) laundry washer outlet
Inspection Request Line: (253) 835 -3050
Parcel Number: 122103 9141
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301ST ST
1CONSC *961JG (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
;m' ` l�tumbing fixtures
Laundry Washer Outlets ................ 1
1
OCT 192007
THIS CARD IS TOW.MAIN ON -SITE
CITY OF = tommuni ty Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105784 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit D
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be 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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final - Plumbing (4075)
Approved
B
Date//'—,?-&77
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
PERMI - - -_.-
C0/YIAlMAIVELGPAWSADM OCT 1 6 200'7 T' SF MF CO ME EI PL DE EN PP
fJ11Sly ARM
WAr,0(lfl /•lO9718 �,�',�LI CATI 0 N
IILIERAL AAf, WA 9l061-971! '
ZS36 zeo7•rAx�s s�sa9GITY OF RED /
BUILDING DEPT.
Thi Jollowinj; is requind information —an incomplete application will not be accepted Please print•legibly (in ink) or type.
SITE ADDRESS
S4
ASSESSOR'S TAX /PARCEL f
LEGAL DESCRIPTION (ag. Acme Estates, Lot 1)
' (c�•w•��.w•A•�Me+•••iwN
TYPE OF PERMIT
SUITE /UNIT g
LOT SIZE (sf j
MECHANICAI.
ax
O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^f *#nrf ;^ h# +ed on this permit onlul
d 11I- 5 .
PROJECT-NAME (Name ojl31ssinesa or Owner Last Namel
PROPERTY* NAME PRI RY PHONE
OWNER Q 1/ ° G -
MAIUNO ADDRESS CITY, OT A ZIP E-MAIL ADDRESS
CONTRACTOR
0�
APPLICANT
PROJECT
CONTACT
LENDER
EMOTING USE
M
��
RIMINTRATIOR XvdXzR, f
COMPANY A
AP O
OFFICE PHONE "
MAIL-- •nnoxna I CITY. STATE, ZIP P
PHONE
rl
RELATIONSHIP TO PROJECT I F
FAX NUMBER
O Architect o Tenant O Agent O Other (
( -
PRULW PHONE E- MAII.ADDRBSS
U1-
ME - PsrXCW 19.97.0961
Lender tq foinustion is rsga prq/eet value axes@& ;6,000. '
MAIUNO ADDRESS • CITY, STATE, ZIP PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLMM HUMDINO? D YE$
WATER SERVICE PROVIDER O
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE 8UPP SION SYSTEM PROPOSED /REQUIRED? 0 YES 0 NO
VEN O HIGHLINE TACOMA O PRIVATE (WELL)
VEN O HIGHLINE O PRIVATE, ISEPTICI
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLMM HUMDINO? D YE$
WATER SERVICE PROVIDER O
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE 8UPP SION SYSTEM PROPOSED /REQUIRED? 0 YES 0 NO
VEN O HIGHLINE TACOMA O PRIVATE (WELL)
VEN O HIGHLINE O PRIVATE, ISEPTICI
BASEMENT
-- - 1ST --
SECOND
ADDITIONAL FL00]
DECK (O COVERED
GAR AGE •0 CARPI
NUMBER OF FLOORS ssurus m"�i° u ronttrsor•essu rorasr
""NSWHOIIMSSONLY"• .. NUMBER OF B,9600t.is ESTIMATED SELLING PRICE $-
Indicate number of each type of jbdure to be installed or relocated as part of this project. Do not include existing f iadures to remak
Value of Medumical work $ (A Off OF BM OR ES77 MTS MUST BE INCLUDED W H APPLICAMNJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
PANS
OAS WATER HEATERS
M1SC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS
ZONING DESIGNATION
COMPRESSORS
FURNACES
RANGES
a YES
DUCTS
OAS LOG SETS
REFRIG. SYSTEMS
�yi'f+ +$.,. }t. ,.,j lY' eo .,r ..••' J. >:v.
.,.ti ...:1 ..." ,a
..,.. .R� ,. ..
-.
BATHTUBS prroti /ebw.rc•.e•I
LAVE p.er.•.>taul
URINALS �_
M1SC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKINO FOUNTAINS
SHOWERS
WA'PER CLOSETS irwi q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
i
I eortVS under penalty of perjury that I am the property owner or authorised agent of the property ownsr. I sor ft that to the best of my
knowledge. the Information submitted 1A support of this permit application is true and eorroaL I oer r'Jy that I will oemply with all applicable
City of Yederal.Wgy, regulations 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 responrlbiltty for compliance with beat, state, or federal laws regulating construction or environmental tR>a
I f urther agree to hold harmless the City of lrederai Way as to any claim Pneluding costs, espenses, and atterneyd fees incurred in the
investigation and defense of such clalmh which may be made by why person• including the undersigned, and flied against the etia but only
whom such•elalm arises out of the reliance of the city, including its offleers and employees; upon -the accuracy of the igfeimation supplied to
the city as apart of this application.
SIGNATURE:
Property Owner add/or Au eat
a NEW a ADDITION
aALTERATION..
a REPAIR
a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES.
a NO '
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100,1 August 16, 2007 Page 2 of 4 . MHandoutsTennit Avolication .