07-105751f
City of Federal Way Plumbing Permit #• 07- 105751 -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: 30901 20TH AVE SW
Project Description: Install washer /dryer unit (1) laundry washer outlet
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
Plutnbing'Fixtu es
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
1 hereby dertify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of, Washington
and the City of Federal Way. 4
Owner or agent:
see App Date: a ►p -anon
w
,OCT 192007 OCT 192007
y . �k ° ' THIS CARD IS TO REMAIN ON -SITE , _'
MY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105751 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT B .
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 I O ZG By Date
❑ Final - Plumbing (4075)
Approved
By,<-'/"' Date �'/— Z-7--T7
For in_ pector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
.r 'air R-, -- -- - - - --�.
PERMIT SF MF CO ME EL�DE EN PP
• OOXAIUNITYDBVEGOPI/5N7'SSRV1C65
999258N AVME SOU17i PO BOX 9711
rAwlau Y, WA 98f�"'A r g 2007 APPLICATION
2534952607• FAX 258d35•r1 9
OtTY OF F'
Tht followings - an incomplete application will not be accepted. Please print.iegibly (tn ink,) or typo.
SITE ADDRESS _ o '� 01
ASSESSOR'S TAX /PARCEL i -
SUITE /UNIT # ,
LOT SIZE (s, f j
.LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AUad��PQw/brMWNtlwote..arfpnw� .
TYPE OF PERMIT O BUILDING APLUMBING . ❑ MECHANICAL
O DEMOLITIO O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description in ^h,,fsd on this Permit onl
PROJECT-NAME (Name of Business or Owner Last Namel
PROPERTY NAMS O �� PRIMARY PHONE
OWNER
MAILING ADDRESS CITY, 8TA Z1P E-MAIL ADDRESS
G� �Gv�GC� / O
CO TRACTOR
J
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
WMID MT1011 NuMBaR. '—
%v
/• ,-
RELATIONSHIP TO PROJECT / FAX NUMBER
O Architect O Tenant o Agent ❑ Other
ll
NAME PRIMARY PHONE E-MAIL ADDRESS
c3 -
NAME
ParRCW 19.77.095:
Lender information is requipmrfproject value exceeds $5,000
MAILING ADDRESS
C LL PH NE
PHONE
FAX NUMBER
l � _
E-MAIL ADDRESS
OFFICE PHONE
•CELLPHONE
RELATIONSHIP TO PROJECT / FAX NUMBER
O Architect O Tenant o Agent ❑ Other
ll
NAME PRIMARY PHONE E-MAIL ADDRESS
c3 -
NAME
ParRCW 19.77.095:
Lender information is requipmrfproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? D YES
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER AKEHA
PROPOSED USE
/ VALUE OF PROPOSED WORK $
FIRE SUPP SION SYSTEM PROPOSED /REQUIRED? 0 YES 0 NO
• HIGHLINE TACOMA a PRIVATE (WELL)
• HIGHLINE 0 ATE (SEPTIC)
y
AREA DESCRIPTION •EXISTING PROPOSED TOTAL
S : FT. S . FT. 80. FT.
BASEMENT
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (0 COVERED OR 0 UNCOVERED ?)
GARAGE •0 CARPORT 0
NUMBER OF FLOORS s #Md Ma ror� sr ronicrsorwvsr ranasr
"NEW HONES ONLY".. NUMBER OF BX&OOM6 ESTIMATED SELLING PRICE $-
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 Medmical Work $
(A DOPY OF BID OR ESMMTE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS IGA
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LAG SETS
REFRIO. SYSTEMS
BATHTUBS )of Tub /sh~combo) LAVS (8�ft..sb*4 URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (rouse
ELECTRIC WATER HEATERS SINKS_ WASHINO MACHINES
HOSE BIBBS SUMPS
I cert(& under penalty of perjury that I am the property owner or authorised agent of Uto property owner. I eerft that to the best of my
knowledge, the LVarmation submitted in support of this permit application is true and correct. I cwtW 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 environmental laws.
Zfurther agree to hold harmless the City 4l Federal Way as to any claim (including costs, ixponses, and attorneys' fees incurred in the
investigation and defense of such cla(4 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 emplgyoes; upon-the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: V I< DATE i) v 6
Of Property Owner';Rd"/orAuthorJz6&Atent
o NEW o ADDITION
a ALTERATION.
o REPAIR o TENANT IMPROVEMENT
BUII.DING SHELL ONLY?
6 YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o 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 -August 16, 2007
Pago 2 of 4 .
k\iiandoutsTermit Application .