07-105744City of Plumbing Permit #: 07- 105744 -00 -PL
Community Development Services •
` P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30917 20TH AVE SVOW Parcel Number: 122103 9141
Project Description: Install washer /dryer unit (1) laundry washer outlet
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301ST ST
1CONSC *961JG (4n108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
R1uibir, Fiicturss
Laundry Washer Outlets ................ 1
Owner or
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
the above information is correct and that the construction on the above described property and
i,the use will be in accordance with the taws, rules and regulations of the State of Washington
J•Y. .end +6- ".+- \Ahv A a -
9
` , -TIH-9 CARD IS TO REMAIN ON -SITE
CIS of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105744 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit D .
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 B Date By Date
❑ Final - Plumbing (4075)
Approved
Bye Date % e0_7
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
emrer � V
ram, Ay --D PERMIT --- -- --= - --
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Tlu joliowing is requt��i({�in i j+lrtcomplete application will not be accepted Please print. legibly (in ink) or type.
SITE ADDRESS _ -D i J /I ' " 1 ?6"-,CL J SUITE /UNIT
ASSESSOR'S TAX /PARCEL f - C% LOT SIZE (s)?
.LEGAL DESCRIPTION (eg. Acme Estates, Lot 1)
PROJECT INFORATATION
• p�+wmw,w•�•�hr�+�wM,r
TYPE OF PERMIT D BUILDING kIPLUMBING . 0 MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (A'ovide detailed description ^r o^^h+fed on this Dennit onlul
(A) 3 t. brL4 er 5.
PROJECT. NAM (Name of Business or Owner Last Namel
PROPERTY NAME PRIMARY PHONE
OWNER 0 ✓e— G ( -
MAIUNO ADDRESS CITY, 8TA ZIP E-MAIL ADDRESS
�— a/1/Z16 /8,
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NTRAC30A
-0
MWIDT"TIOn nudsm ,
CITY, STATE, ZIP C PHQ
r .
ZXPIRATI?PPVATZ FAX NUMI
EXPIRATION DATD ; EMAIL AE
COMPANY a J
APPUCANT NAME w
OFFICE PHONE -
MAIV-n AnnvMR CITY. STATE, ZIP
. CEU, PHONE
LA NSHIP TO PROJECT I
FAX NUMBER
0 Architect 0 Tenant 0 Agent o Other
( )' - •
NAME PRIMARY PHONE Z- MAILADDRESS
E -
Per RCW 19.27.095r
Lander t►Sjoimatton is requ proJeet value axeeede $0,000 .
MAIUNO ADDRESS
CIT►, STATE, ZIP
/ PHONB
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? 0 YES
MATER SERVICE PROVIDER 0
SEWER SERVICE PROVIDER Z
01-00000-
FIRE SUPP
VEN 0 HIOHLINE
VEN (3 HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
)N SYSTEM PROPOSED /REQUIRED? O YES t] NO
IgTACOMA 0 PRIVATE (WELL)
} AREA DESCRIPTION .EXISTING PROPOSED
S . FT. $ . FT.
BASEMENT
SECOND O
I GARAGE • 13 CARPORT
NUMBER OF FLOORS =MUG MAL TOTAL u Tor"MoPosssu "racu
"INWHOMFS ONLY" NUMBER OF B ROOMS ESTIMATED SELLING PRICE $-
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing Jbrlures to remain.
Value of Mechanical Work (A off OF BID OR ESTIMATE MUST BE INCLUDED WITX APPLICA77ONJ
NR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS M13C (Describe)
BOILERS FIREPLACE INSERTS HOODS iG•9
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS • REFRIO. SYSTEMS
BATHTUBS I.rrub1&.w.re.mb4 LAVS pmw..s" URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKINO FOUNTAINS SHOWERS WATER CLOSETS trs.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I co tVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eerft that to the best of my
knowledge, the LVarmation submitted in support of this permit application is true and oorreot. I @wWjk that I will comply with all applicable
City of Yederal ,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 responsibiltty for compliance with total, state, or federal laws regulating construction or aivironmental 1gws.
I further agree to hold harmless the City of AdoW Way as to any claim firncludfng costs, kVensss, and attorneys' fees inewrred in the
investigation and defense of such claim, which may be made by any person, Including the undersigned, and filed against the aft 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: -- L,-,l NV
o NEW o ADDITION
12 ALTERATION..
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
d YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANaE OF USE?
o YES
o NO
NEW ADDRE$$ REQUIRED?
o YES . o NO
UP /SEPA /SU?
o YES
ONO '
PLATTED LOT?
o YES ONO
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #I 00 � August 16, 2007 Page 2 of 4 . Mandoutsll'ennit Application .