08-100927• City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Q
robin Perm #:08 - 100927 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS UNITS B C
Project Address: 30929 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
Owner
See Appicaio
FEB 2 2 2008
Dote:
A
` ' THIS CARD IS TO MAIN ON -SITE
CITY OF tommunity Develo m t Ins ection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100927 -00 -PL
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
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By C v.S Date By Date
- ❑ Final - Plumbing (4075)
Approved
By Date 3_ rA,
For inspector reference only ......
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
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The foilowin& required information —an incomplete application will not be accepted Please print. legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS �V SUITE /UNIT #
ASSESSOR'S TAR /PARCEL 1 .
4 _ -. _. ✓_ e>�� LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Aane Estates, Lot 1) _
PROJECT • •
TYPE OF PERMIT ❑ BUILDING PLUMBING • O MECHANICAL
❑ DEMOLITION O ELECTRICAL. O ENGINEERING OF= PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
PROJECT- NAME (Name of @usiness or Owner Last Name1
PEOPLE • •
PROPERTY*
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
OFFICE PHONE
r �
MAILIN ADDRESS
CITY, STATE, ZIP
E•MAILADDRESS
CITY, STAT16 ZIP
CK"RIONZ
Q .Sr
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r �
CITY, STATE, ZIP
� �•
MAIIJNOADDRESS
CITY, STAT16 ZIP
CK"RIONZ
Q .Sr
j
ry
O FEDERAL WAY BUSINESS UCENSE NUMBER.
EXPI TION TE
F MBER
CONTRACTOR'e RsO11TRATION NU
X"IRATION DAT!
EMAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAIUNO ADDRESS
CITY, STATE, ZIP
CEU. PHONE
_
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect O Tenant O Agent o Other
NAME PRIMARY PHONE &MAM ADDRESS
NAME
Per RCW 19.97.095:
Lender information is required if project 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 YES o NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER (3 LAKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
� 4
AREA D=CARMON
EXI
S
PROPOSED
SQ. FT.
TOTAL
S • FT.
BASEMENT
GAS WATER HEATERS T_ M1SC (Describe)
BOILERS
FIRST
HOODS ICO—cm
COMPRESSORS
FURNACES
SECOND
DUCTS
GAS LOG SETS •
REFRIG. SYSTEMS'
THIRD .
UP /SEPA /Su?
o YES
BATHTUBS (.Tub /3h.--..b4
ADDITIONAL FLOORS (DESCRIBE)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
DECK (❑ COVERED' OR O UNCOVERED ?)
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS tr kq
GARAGE-0 CARPORT ❑
SINKS
WASHING MACHINES
HOSE BIBBS
NUMBER OF FLOORS
snsrwe
"tOi4'i°
TOT'"''
TOM
twracu
"NEWHOMES ONLY'.. NUMBER OF BEDROOMS ESTIMATED SENUNG PRICE $
Indicate number of each type of fvdg4 q to be installed or relocated as part of Oda project. Do not include exist&Wfxtures to remain.
Value of Meduutical Work $ (A COPY OF BID OR ESMMTE MUST BE INCLUDED WITH APPLICATIOIVJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS T_ M1SC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS ICO—cm
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS •
REFRIG. SYSTEMS'
o YES a NO
UP /SEPA /Su?
o YES
BATHTUBS (.Tub /3h.--..b4
LAVS P.1h. 1
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS tr kq
==RIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I eortifV under penalty of perJary that I am the property owner or authorised agent o the property
knowle I owner. I will co y that to the best of
my.
knowledge, the 6Sformatton submitted fit support of this permit application b true and correct, I eert(/ji that I will comply with all applicable
City of Uederal _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 owner's responsibility for compliance with local, state, or federal laws regulattnp construction or environmental laws.
I further agree to hold harmless the City of Tederal Way as to any claim (including costs, 'expenses, and attorneys' fees incurred in the
investigation and defense of such elain4 which may be made by any person, including the undersigned, and flied against the city, but only
when 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: J i DATE
Property Owner and /nr Avfhnrt41A—.#
o nJGW a ADDITIOR
a ALTERATION..
D REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. D NO
BASIC PLAN?
DYES
o NO.
ZONING DESIGNATION
CHANGE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /Su?
o YES
o NO
PLATTED LOT?
D YES . o NO
DEMO PERMIT REQUIRED?
a YES
o NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4. WandouWPermit Application