08-100914City 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 APAR
Project Address: 30929 20TH AVE SW
Mechanical Permit .- 08- 100914 -00 -ME
BC
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
1 CONSC *961JG (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation ................ ............................250 Over the Counter Permit ? ...................................... Yes
,FEB 212W
. -THIS CARD IS T (WMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100914 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30929 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 VA Date $ By Date By Date -3 %
For inspector reference only_
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cmrof ` { —
FedemlWak PERMIT
C0KWJA77YD8VEWPIBNrSZRV1CU FEB L 1. Z '_' SF MF CO ME EL PL DE EN FP
93925 8*M AY6NU8, WA 9 • Po BOX 9718 Rid CATION
56485 -2 WAY, X 53435.260
259�d9S ?607• FAX ?59•Q3 2609 O � �C ry / /
UWW FED
The following is required i4 [on -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS- �� C'"� Vii SUITE /UNIT f�
ASSESSOR'S TAX /PARCEL � � � 123 LOT SIZE (s]
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING )7 MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this gennit onlul
• yi • ,.u'
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
ME
PRIMARY PHONE
E"�UNO
/ .j�
U
ADDR
CITY, STATE, ZIP
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFLgcc PHONE
/ .j�
U
"'
j -
MAILIN ADD ^
CITY, STATE, ZIP }�
CELL PHONE
ANTY OFFEDERAL WAY BUSINESS LICENSE NUMBS
TS
FAX
QOIITRAOTOR'0 RSCNBTRATION NUMM
EXPIRATION RATS
E-MWL ADDRESS
COMPANY NAME
APPUCANT NAME
OFFICE PHONE
MAIUNO ADDRS98 ,�
CITY, STATE, ZIP
CELL PHONE -
RELATIONSHIP TO PROJECT
❑ Architect 0 Tenant 0 Agent ❑ Other
PAX NUMBER
( ) -
NAME PRIMARY PHONE EMAIL ADDRESS
I ) -
NAME
Per RCW 19.27.095:
Lender is {nation ix required {fprg1@ct value exceeds $5,000
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YE8 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE (WELL)
SEWER 8ERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
Indicate number of each type of fucture to be installed or relocated as part of this project. Do not include existino fixtures to remr in _
IValue of Medutrucal Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQ3
BOILERS
FANS
GAS WATER HEATERS MISC (Describe)
FIREPL ACE INSERTS
HOODS Ic..xtq
COMPRESSORS
FURNACES
RANGES '
DUCTS.
OAS LOO SETS
REFRIG. SYSTEMS
BATHTUBS *T,b /shswr C.mb4 LAVS le.thca.m skd4 URINALS
DISHWASHERS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS fros.q
H ELECTRIC WATER HEATERS SINKS WASHING MACHINES.
HOSE E BIB IBB3 SUMPS
knowledge, I cw t{ jy under penally s f per, jury that I an the property owner or authorised ' one the
rmation submitted in rapport of this permit application to ten nand oorr@*L I c that I Will mp with � � �
applicable
pink
W/ reDu�►ons pertaining to the work authorisd by the issuance q f a permie. I understand that the issuance of this permit
does not remove the oun Wo responsibility for compliance with loom, state, or jederal laws regulating construction or onatronnentat laws.
I farther agree to hold harmless the City of Federal Way, as to any claim jiioiudtap costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claGgg. which may be made by any person, inicluding the undersigned, aped filed against the city, but DAIM
where such claim arises out of the reliance of the city, including its gpicere and omployses, upon the accuracy of the in formation supplied to
the city as apart of this application. _
SIGNATURE:
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES . o NO
BASIC PLAN?
o. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application