08-100929c City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
r ,
Plumbin g Perm #:08 - 100929 =00 -PL
Project Name: FOREST COVE APARTMENTS UNITS A--C-"
Project Address: 30921 20TH AVE SW
Project Description: Installing laundry washer hook -up 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
TINS CARD IS TO AIN ON -SITE
CITY OF tommunity DevelO m Mt Inspection n Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100929 -00 -PL
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date 3 - t 3 _p% By Date
— ❑ Final - Plumbing (4075)
Approved
By 0, \A, Date eA
For inspector
❑ Rough Electrical
Approved
By Date
reference
❑ FINAL - Electrical
Approved
By Date
aver
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The following is required LVarrnation -an incomplete application wilt not be accepted. Please print•legiblg (in MIr/ or type.
SITE ADDRESS V O 5a?_ c,2_6-7'5( SUITE/UNIT f `
ASSESSOR'S TAR /PARCEL f `C` LOT SIZE (s)?
— .
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
PROJECT • •
se
TYPE OF PERMIT O BUILDING PLUMBING • O MECHANICAL
O DEMOLITION E3 ELECTRICAL O ENGINEERING E3 FIRZ PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT. NAME (Name of Business or Owner Last Namel
PEOPLE • •
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
/ &-- - 5 _�7 tZ LG C
( . _
MAILING ADDRESS
Cn'Y, STATE, ZIP
E-MAIL ADDRESS
CITY, STATE. ZIP
RELATIONSHIP TO PROJECT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
C
CITY, STATE, ZIP
1J
MMLINGADDRESS
CITY, STATE. ZIP
CHU PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect a Tenant o Agent o Other
CrrY OF FEDERAL WAY BUSINESS L1CBN8S NUMBER .
EX TION TS
F
CONTRACTOR'S RE(UNTRATION NUMBAR
XXP=TION
MAILADDAZSS
Q� O
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
_
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect a Tenant o Agent o Other
( -
NAMS PRIMARY PHONE &MAIL ADDRESS
E
Per RCW 19.27.096: .
Lender iWormation is required if project value exceeds $5,000 .
MAILINGADDR
CITY, STATE, ZIP •
PHONE
EXISTING ASE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o PRIVATE ISEPTICI
. AREADWPTION
BASEMENT
FIRST
SECOND
EXIS
S:
PROPOSED
S
TOTAL
Q. FT.
THIRD .
4AS WATER HEATERS T_ MISC (Describe)
BOILERS
FIREPLACE INSERTS
ADDITIONAL FLOORS (DESCRIBE)
COMPRESSORS
FURNACES
RANGES
DECK (O COVERED' OR ❑ UNCOVERED ?)
GAS LOG SETS
REFRIG. SYSTEMS
o YES a NO
GARAGE 0 CARPORT O
o YES •
BATHTUBS InT,u /snn —Combq
LAVS pathmmebuw
NUMBER OF FLOORS
s7QO
rQOSO
rO7iV .
roretsauswu
rornarsorosssNIP
rorau
"NSW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixtR;v to be installed or relocated as part of this project. Do not &u*ide exist&w Adures to remain
Value of Mechanical Work $ (A Mff OF BID OR ESTEMTE MUST BE INCLUDED WITH APPLICA?7019
AIR HANDUNO UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BHQ9
FANS
4AS WATER HEATERS T_ MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commrdy
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
o YES a NO
UP /SEPA /SU?
o YES •
BATHTUBS InT,u /snn —Combq
LAVS pathmmebuw
URINALS MISC (Describe)
DISHWASHERS
RAINWATER 3YST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Irs.q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I tort{ fy under penalty q f parJury that I am the property owner or authorised agent g of the property oumu. I osrft that to the best of my.
knowledge, the Wormation submitted in support of this permit application is true and correct. I certw that I will comply with all applicable
City of Fedorad .Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the• issuance of this permit
does not remove the ownses responsibility for compliance with local, state, orfederal huge regulating construction or anoironm ntai lawns.
I further agree to hold harmless. the City of Federal Wags as to any el aim (including costs, ixpensei, and attorneys' joss incurred in the
investigation and defense of such ehalmti which may be made by any person, including the undersigned, and filed against the city, but only .
where such -claim arises out of the reliance of the city, including its officers and employees; upon -the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: �1 DATE
Prop" OWner and /or Authorised Agent
a rises a ADDMOZI
a ALTERATION..
a REPAIR a TENANT DOROVL71M
BUILDING SHELL ONLY?
o YES .b NO
BASIC PLAN?
o YES
ONO.
ZONINO DESIGNATION
CH"OR OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES •
o NO
BATTED LOT?
a YES. o NO
DEMO PERMIT REQUIRED?
o YES
o NO•
Bulletin #100--L August 16, 2007 Page 2 of 4. MandoutslPermit Application .