08-100928City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
b' Perm #: 08-100928'-06-PL
Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS UNITS C D
Project Address: 30925 20TH AVE SW
Project Description: Installing laundry washer hook -up in each unit.
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
Plumbing Fixtures
Laundry Washer Outlets ................ 2
PERMIT EXPIRES Saturday, February 20, 2010
,Permit issued on Thursday, February 21, 2008
I herd hat the above information is correct y fy� and that the construction on the above described property and
oc6
ft
°end the use wily accordance witht the laws, rules and regulatics of the St of Washington
Owner
,GEB 2 2 NO
bate:
TItIS CARD IS TOVIAIN ON -SITE
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100928 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30925 20TH AVE SW
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 3 13-Qc6- By Date
— ❑ Final - Plumbing (4075)
Approved
By Date
For in sector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
via.
• arras
p T
O01i1NMTYDBY$L6FIBMWffl1JW FE8 SF MF CO ME EL-6 DE EN VP
399 2S 8MAV81VU r, WA 1 • PD 971 9718 5CATION
FEDERAL WAY, WA 98069.9718 '
?59•t95- ?607• FAX ?S9d95 -?609 _ O
The following is required information - an incomplete application will not be accepted. Please print.k8ibly On ink) or type.
PRoprRTY INFORMATION
SITE ADDRESS 599 j 02,j -ffj a C E� -S'4 � SUITE /UNIT
ASSESSOR'S TAR /PARCEL i G= 3 C" LOT SIZE (s, f)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
INFORMATION PROJECT
TYPE OF PERMIT 0 BUZDING *PLUMBING • O MECHANICAL
O DEMOLITION O ELECTRICAL 0 ENGINEERING O FDZE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit gaW
PROJECT-NAME (Name ofBusiness or Owner Last Nam
PEOPLE INFORMATION
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS
MAILINd ADDRESS
CITY, STATE, ZIP
E•MAILADDRE89
S- ` 7
c=
RELATIONSHIP TO PROJECT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
ORR -171-1-1Z2
MAILING ADDRESS
CrN, STATE, ZIP
PHONE
RELATIONSHIP TO PROJECT
*
p
O FEDERAL WAY BUSINESS LICENSE NUMBER.
EXPI TION TB
/F MBER
CONTRAOTOW4 REGNITRATION NU 30
2"11RATION WIN
E-MAN• ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
• CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant o Agent o Other
NAMB PRIMARY PHONE E-MAIL ADDRESS
-
NAME
'
Per RCW 19.97.09& .
if igfoimation is required project value exceeds $4000 .
MAILINO ADDRESS
CITY, STATE, ZIP
PHONS
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? i] YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEIIAVEN O HIGHLINE c3 PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
.EIII G
S
PROPOSED
S
TOTAL
S. FT,
FIRST
FANS
OAS WATER HEATERS _T_
MISC (Describe)
SECOND
FIREPLACE INSERTS
HOODS Ic...,a q
.THIRD .
FURNACES
RANGES
o NO
ADDITIONAL FLOORS (DESCRIBE)
GAS LOG SETS •
REMO. SYSTEMS
UP /BFPO /SIJ?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o NO
PLATTED LOT?
o YES. o NO
GARAGE ❑ CARPORT ❑
LAVS meava
URINALS
MISC (Describe)
NUMBER OF FLOORS
msruo
VACUUM BREAKERS
TOTAL
rorALsaseMAr
rorncrsarosysr
ronAssr
"NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fvdu4 a to be installed or relocated as part of this project. Do not include existin_a A%tum to rem' ain
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPMCAMJV
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
OAS WATER HEATERS _T_
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS Ic...,a q
COMPRESSORS
FURNACES
RANGES
o NO
UCTS
GAS LOG SETS •
REMO. SYSTEMS
UP /BFPO /SIJ?
o YES
o NO
PLATTED LOT?
o YES. o NO
BATHTUBS
LAVS meava
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (rkq
ELECTRIC WATER HEATERS
SINK$
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of pedury that I am the property owner or authorised agent of the property owner. I ce that to the best of knowledge, the i4ormation submitted in support Of this Permit application is true and correet I cs;1 y that I will comply with all appliccabl
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permi!
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environrnsntal laws.
I farther agree to hold harmless the City of Pederal Way as to any claim (including costs, expenses, and attorneys' Jess incurred in the
investigation and defense of such elabnb 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 emplogess, apon•the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE:
7ZONDa ADDITION
a ALTERATION..
o REPAIR o TENANT D"ItEOVEMENT
SHEI:L ONLY?
a YES. a NO
BASIC PLAN?
o YES
o NO
ESIGNATION
CHANIiE OF USE?
a YES
o NO
NEW ADDRESS REQUD2ED?
o YES o NO
UP /BFPO /SIJ?
o YES
o NO
PLATTED LOT?
o YES. o NO
DEMO PERMIT REQUIRED?
a YEB
a NO.
Bulletin #100-August 16, 2007 Page 2 of 4 , k\Handouts\Permit Application .