07-105755City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbing Permit #: 07- 105755 -00 -PL
Project Name: FOREST COVE APARTMENTS
Project Address: 30901 20TH AVE SW
P
Project Description: Install washer /dryer unit (1) laundry washer outlet
Inspection Request Line: (253) 835 -3050
Parcel Number: 122103 9141
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8T11 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
Plurkiir�ix #urns
Laundry Washer Outlets ................ 1
I here
the c
Owner
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 is1cordance with the laws, rules and regulations of theteaaf asiagtgn
-- THIS CARD IS TO REMAIN ON -SITE `+ Ilk
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105755 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30901 20TH AVE SW UNIT C
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�k Date By Date
❑ Final - Plumbing (4075)
Approved
B Date ll Z $7
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED 0
OcT 1 007 PERMIT - - -- - -- - - -
CO,Il WITYDEVBLGHIBM SERPICSS SF MF CO ME EL(E)DE EN PP
339 25 8M AY�NtiB BOUllI • PO BOX 971 d
RBDBRAt WAY, X 53435- � OF C p �P LI C AT I O N °
953 d3b2607• FAX ?S3d3S7
unsw.dtuol7ederMvau.mn
The following is required information — an incomplete application will not be accepted. Please print. legibly (in ink) or type.
ASSESSOA-S TAX /PARCEL 9
LOT SIZE (s,0
.LEGAL DESCRIPTION (e.g. Aane Estates, Lot 1)
(��•�•Prw•le►�rre►aptv�l
PROJECT • •
TYPE OF PERMIT O BUILDING XOZL=R LING. O MECHANICAL
O DEMOLI7M ICA L O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^v.,M.rc i— I-eled on this permit onlvl
PRO JECT•NAME (Name of L h Lqkje-_sj or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
NAME o r v� G (w RY PHONE '
MAILINO ADDRESS CITY, STA ZIP E-MAIL ADDRESS
JAI)n /�vu� g?
�L MlU NO ADDF
�Q 1 F 81
CNTRAC}l'oR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
/ 7
CITY, STATE, ZIP CELL PH N8
IINESS WCEn,a,. r »ba EXPIRATIO AT FAX MBER
RM13TRATIon nuMBma
COMPANY NA
APPLICANT NAME
OFFICE PHONE
0 jr
PHONE
( )
-
MAIL — •nnRMq I CRY. STATE, ZIP
CELL PHONE
REIATIONSHIP TO PROJECT /
FAX NUMBER
O Architect O Tenant O Agent O Other
( )` - •
NAME PRIMARY PHONE E-MAIL ADDRESS
i4vl- CZ3) 9w -yka'g 1 :1
Ci
ME
PerRCW 19.27.098$
Lender igformation is requ il"Ject value exceeds $5,000 .
MAILINO ADDRESS
CRY, STATE, ZIP
PHONE
( )
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? o YES O NO
WATER SERVICE PROVIDER O HAVEN O HIGHLINE TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN 0 HIGHLINE 13 ATE (SEPTIC)
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 ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS iorTub /sh000rcombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERT'S
FURNACES
GAS LOG SETS
LAVS p Room si0u)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
OAS WATER HEATERS
HOODS (commordq
RANGES
REFRIO. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (rea.q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Deacn'be)
I certjfy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cart(& that I will eompk with all applicable
City of Federai.Way regulations pertaining to the work authorised by the issuance of a permit. 7 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.
I further agree to hold harmless the City of Fsderai Way as to any claim / ineluding costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), 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.
/ 7
SIGNATURE:
o NEW a ADDITION
a ALTERATION..
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
6 YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIONA77ON
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU?
o YES.
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 _ August 16, 2007
Page 2 of 4 .
MandoutsTermit Application .