07-105749.. t
city of Federal Way Plumbing Permit #:
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: 30901 20TH AVE SNINOW 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 (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
1�>iu. bt Fixtures
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 laws, rules and regulations of the State of Washington
w
and the City of Federal Way. A
.00T 192007
OCT 192007
Jon
RIMS -CARD IS TO REMAIN ON -SITE
CITY OF 1A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105749 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT A
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)
Approved to cover
By Date
Final - Plumbing (4075)
Approved
B l Date 6
Rough Plumbing (4230)
Approved
By Date
Gas Piping (4125)
Approved to release test
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
r � My � ,� �v c� PERMIT
COUWMIYA3V&0PJI WSSRV=
333 P1 WAY, 8063.9 9n1t { y s ad P LI CATI O N
TS3d9S ?607- FAX 253d3S -7669 G 1 •1
Ths following is reg6"X
SITE ADDRESS
ASSESSOR'S TAX /PARCEL i
a7 _ o5
SF MF CO ME EL (PL E EN PP
WAY
pn incomplete application will not be accepted. Please print.tegibly (in ink) or typo.
lye
LEGAL DESCRIPTION fag. Acme Estates, Lot 1)
�1emh�y��e .r4w1`►wroervNwdd..olv�l
SUITE /UNIT #
LOT SIZE (sn
TYPE OF PERMIT
O DEMOLITION D ELECTRICAL O ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description on this permit onlW
PROJECT. NAME (Name ofBusine ss or Owner Last Narn
PROPERTY'
OWNER
CONTRACTOR
�.o
CJ�
APPLICANT
f
PROJECT
CONTACT
LENDER
EXISTING USE
NAME o
G
PRI RY PHONE
c -
MAILINO ADDRESS CITY, 8TA ZIP
eaz
E-MAIL ADDRESS
NAMB PRIMARY PHONE E-MAIL ADDRESS
Ci -
NAME
Per RCW 19.27.095:
Lender inlfornmUon is requ protect value exceeds
MAILINO ADDRESS
CrfY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? D YESO FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? O YES O NO ( t
WATER SERVICE PROVIDER o L HAVEN o HIGHLINE TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN 0 HIGHLINE o ATE (SEPTIC)
If
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTDM7E MUST •BE INCLUDED WITH APPMr-477010
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
T MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS ico�.rd.q
COMPRESSORS
FURNACES
RANGES
o NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
G
o NO
PLATTED LOT?
a YES a NO
BATHTUBS (orihb /snowwcowxj
LAVS 18avowmsink+l
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (ros.q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I eert jJy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(& that I will comply with all applicable
city of Federal 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 regulating construction or envlronmerital laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such clan;, 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 apart of this application.
SIGNATURE:
�ssa�
o NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
6 YES. a NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES.
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4 .
MandoutsTelmit Application .