08-100916. City of Federal Way •
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: FOREST COVE APAI
Project Address: 30921 20TH AVE SW
o
Mechanical Permitf: 08- 100916- 00 -ME.
AC
Project Description: Installing washer /dryer hook -up and vent in each unit.
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
Additional Permit Information
,FEB 212008
• THIS CARD IS T MAIN ON -SITE -
MY or Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100916 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30921 20TH AVE SW
FEDERAL WAY, WA 98003 -4921
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date 3 . c3..og5 By Date By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
5'
CRT Or t Y 0 /
X PERMIT
C0KMRlNRYD8VXWPA0W38RV1C83 FEB �� 1 2008 SF MF CO EL PL DE EN FP
33395 An AVSNUB, WA 9 • PO SDX 9718 AC I O
FEDERAL WAY, WA 98063.97X- jjwi p
453-35- ?607• PAX 953-835• 2609 .1 ILA
-� pF FED
The following is required Jgforrl'DbN- an incomplete application will not be accepted Please print legibly (in lnki or type.
t�
PROPERTY INFORMATION
�10'yQ11\ SITE ADDRESS _ -� �� I rim es "� ' % y �" 1 SUITE /UNIT # _C
ASSESSOR'S TAX /PARCEL 0 ✓� i �,- -7� e—e"' LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aff.h&q-- t.pWjbrNawVkpdd wjpe4
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit mW
PROJECT NAME (Name of Business or Owner Lost Name1
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
HAMS
PRIMARY PHONE
MAILING ADDRESS
I CITY, STATE, ZIP
E -h ADD
COMPANY NAME
APPLICANT NAME
OPgICB HO B
/ c
77
-
MAILIN ADD ^
CITY. STATE, ZIP
CELL PHONE .,�
NTY O FEDERAL WAY BU DYBSS LICENSE NUMBER
T8
/FAX
l � -
CONTRACTOR-2 RROISTRATION SO/BSR
2"M&TION DATE
E-MAIL ADDRESS
COMPANY NAME
APPUt ANT NAME
OFFICE PHONE
MAILING ADDRESS ,�
C'
WY. STATE, ZIP
CELL PHONE -
RELATIONSHIP TO PROJSCr
0 Architect o Tenant 0 Agent 0 Other
FAX NUMBER
( _
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW19.2 095.
Lender infornmdon to required if project vain• exceeds $5,000
MAIUNO ADDRESS
CITY. STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK #
SPRINIMERED BUILDINO? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES a NO
WATER SERVICES PROVIDER O LAKEHAHAVEN p WGHLI jE O TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER a LAIW:KAVEN 0 HIGHLINE u PRIVATE (SEPTIC'
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include exist&W fig h"a-o to romm.
Value of Mechanical Work $ (A COpY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICAIYON)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS PANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS. OAS LOO SETS
BATHTUBS (wTub /stiewr c..a* LAVS Iewwem sauu�
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (riwq
WASHING MACHINES .
WOODSTOVES
MISC (Describe)
MISC (Describe)
I corivy under PfnaU# OfPwo*w / that I an the property owner or authorised art the —
knowledge, Wag mation regulation- submitted in support of this permit application to true and orroot� that I Will 1{y with all applicable
pertaining to the work authorised by the issuance or a permit. I understand that the hwuanco of ads permit
do" not remove the owner's responsibility for compliance with locaS state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Wag as to any claim (including costs, expenses, and attorneys' fees incurred In the
investigation and dgfense of such ciai* which mgy be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out q f the reliance of the city, including its officers and employees, upon the accuracy q f the'in formation supplied to
the city as a part q f this application. _
SIGNATURE: /' ( DATE Z, -2-� �/�
Pennerfv n-- .,.A i.,� ..... _ • _ _.
a NEW a ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES .13 NO
BASIC PLAN?
a. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SUP
o YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
m' w - January ►, LUU25 Page 2 of 4 MandoutsTertnit Application