07-105773! _ w
$I a
City of ed y
Community Dee velopment pment Services • Plumbing Permit #• 07- 105773 -00 -PL
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: 30805 18TH PL SW 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 *9613G (4n108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
�Plui~nbing''Fixturi s
Laundry Washer Outlets ................ 1
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
( the use will accor ance with the laws, rules and regulations of th tate of ashes on
�C1L] d'it�r�iwiiddcrnLwav .'�f1�±i•� ���i�..:
Owner
Moll
' THIS CARD IS TO REMAIN ON -SITE
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105773 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30805 18TH PL 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 BjS Datelp —ZG By Date
❑ Final - Plumbing (4075)
Approved
By Date,//—
For insQector_reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVES _ a
OCT 6 6PLICATION' PERMIT SF MF CO ME E PL DE EN PP
�V �pPf
9992t 8X AVPUB SOUTH - PO BOX 97I d
53435 -L WAY, WA 98063.97j8. FEDERAL WAY
?S9d95 ?607•FAXTS3d95• ?&T OF
BUILDING pEPT
The following is required information —an incomplete application will not be accepted. Please print. legibly (in inl4 or type.
ASSESSOR'S TAX /PARCEL -1 _- J _ � � - t ✓
LEGAL DESCRIPTION fag. Acme Estates, Lot 1)
LOT SIZE (si
TYPE OF PERMIT O BUILDING
;ING • O MECHANICAL
O DEMOLI MCAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description on this permit only)
✓'ca f�4- 5
t
PROJECT. NAME (Name ofBusine ss or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
NAME
or
v� C
PRI RY PHONE
( ) -
MAILING ADDRESS
J E_ ,--
CITY, 8TA ZIP
/1✓vu.� q8'
EMAIL ADDRESS
®� � mn•wnv noun
a
ONTRAC' oR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
_� _.
WMIBTRAT:ON NUMBER. r
( 'Ze ' _S Z?
CELL PH NS
CY• -
FAX 1 MBER
( )
EMAIL ADDRESS
COMPANY
APPLICANT NAME
OFFICE PHONE
CITY. STATE, ZIP
PHONE
MAIL•" -^ Annanec I CITY, STATE. ZIP
• CELL PHONE
RELATIONSHIP TO PROJECT !
FAX NUMBER
O Architect O Tenant 0 Agent o Other
( )" - .
NAME PRIMARY PHONE EMAIL ADDRESS
NAME
PerRCW 19.27:096:
Lander information to requ project value exceeds $5,000 .
MAILING ADDRESS •
CITY. STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? O YES
V ATER SERVICE PROVIDER ❑ L
SEWER SERVICE PROVIDER
PROPOSED USE
$ VALUE OF PROPOSED WORK $
10 FIRE SUPP SIGN SYSfiEM PROPOSED /REQUIRED? OYES 0 NO
HAVEN O HIGHLINE TACOMA D PRIVATE (WELL)
AKEHAVEN ❑ HIGHLINE O ATE (SEPTIC)
♦ AREA
BASEMENT
- - - FIRST —
SECOND
THIRD
EXISTING I PROPOSED
TOTAL
I NUMBER OF FLOORS I ""`r'"" I • f 1Wgaw 1 21"111 T+' ,"sUR!7" I rorarsorass,. , rorv.,r I
l
**NEW HOMES ONLY".. NUMBER OF BROOMS ESTIMATED SELLING R CE
FIXTURES
Indicate number of each type of f vture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A off OF BID OR ESTIMATE MUST•BE INCLUDED wrm APPLlCAT10Nf
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS �c.mmrdq
a NO
COMPRESSORS
FURNACES
RANGES
o YES
DUCTS
OAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
o YES.
o NO
PLATTED LOT?
a YES o NO
BATHTUBS (or Tub /shmwrcambo)
I.AVS p th,.. 3k *4
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Twb#
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certVy 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 fit support of this permit application is true and comet. I Bert(& 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 lawn
I further agree to hold harmless the City of Federal Way as to any claim fincluding 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 a part of this application.
SIGNATURE:
DATE
Property Owner d /orAutho ent
6.
1 d
o NEW o ADDITION
n ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES . a NO
UP /SEPA /SU?
o YES.
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #100_ August 16, 2007 Page 2 of 4 . MHandoutsTermit Application .