07-105778City of Federal Way Plumbing Permit #• 07- 105778 -00 -PL
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
' Ph: (283) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: FOREST COVE APARTMENTS
I4 Project Address: 30909 20TH AVE SWOM 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
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Laundry Washer Outlets ................ 1
-- r- THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105778 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit A
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections maybe 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
By
Date a 2 , o
By
Date
❑ Final - Plumbing (4075)
Approved
B Date / /-- 0—&r7
For inspector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
•
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fIDSR,IL WAY, WA 9/063 9773
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Oify t)F FEDERAL WRY
The following is . aquirs incomplete application toill not be accepted Please print• legibly (in ink,► or type.
SITE ADDRESS _ ✓y f (� d 14 C jai SUITE /UNrr 0
ASSESSOR'S TAX /PARCEL i -3 cJ 6 o
(ra LOT SIZE (sn
LEGAL DESCRIPTION (e,g. Acme Estates, Lot l)
per• hra •nI
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING *UMBINO • O MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^r•• „ *r I•+^H•efed on this permit onlul
L t
PROJECT-NAME (Name of Business or Owner Last Name)
PROPERTY'
OWNER .
CONTRACTOR
APPLICANT
t
PROJECT
CONTACT
LENDER
EXITING USE
NAME
o
ve. G
PRIMARY PHONE
( -
MAIUNO ADDRESS C11Y, STA ZIP
JE lZeZ 4/8,0
/e'l
11-MAIL ADDRESS
NTRAO'TOR
Iw wCEnaa.. -r_!S EXPIRATIO *-MT FAx MBER
RZOISTRATION RUASZR, .
CO>IPAJIY
APPUCANT NAME
OFFICE PHONE -
MAIL—F •nnatcnR I CITY, STATE, ZIP
• CELL PHONE
RELATIONSHIP TO PROJECT /
FAX NUMBER
o Architect O Tenant O Agent o Other
NAMS PEMARY PHONE &MMLADDRESS
Gi -
ME -
lerRCW 19.97.0951
Lender in foi cation is requ proJeat value exceeds $5,000 .
MAIUNO ADDRESS
CITY, STATE, ZIP
FffiONE
EXISTING ASSESSED /APPRAISED VALUE
SPRUMERED BUILDING? 0 YES
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? O YES O NO
WATER SERVICE PROVIDERVEN O HIOHLINE TACOMA ' PRIVATE (WELL)
SEWER SERVICE PROVIDER 21AKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fudures to remain.
u•aa.rara•u�..rsa• .
Value of Mechanical Work S (A = OFBID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
M19C (Describe)
BOILERS
FIREPLACE INSERTS
HOODS
ZONING DESIGNATION
COMPRESSORS
FURNACES
RANOES
0 YES
DUCTS
OAS LOO SETS
REMO. SYSTEMS
UP /SEPA /SU?
o YES
ONO
PLATTED LOT?
BATHTUBS (.rTur /81ww.rc.mDo)
LAVS pwth .v sraw
URINALS _�_
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKINO FOUNTAINS
SHOWERS
WATER CLOSETS pau*
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I esrt(N under penalty of perjury that I am the property owner or authorised agent of the property owner. t oort(fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct I eortw that I will eompty with all appligable
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 owner's responsibility for compliance with toca4 state, or federal laws regulating construction or envOonmaital tqw&
I further agree to hold harmless the City of Tederal Way as to any claim (including costs, 'expenses, and attorneys' fees incurred in the
investigation and defense of such claL* 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 offteers and employees; upon -the accuracy of the information supplied to
the city as apart of this application
SIGNATURE: �% E P/�V �/ 1 DATE % o' / l�� C ►�
o NEW o ADDITION
a ALTERATION.
o REPAIR
0 TENANT D1aPROVEMENT
BUILDING SHELL ONLY?
6,&S. 0 NO
BASIC PLAN?
0 YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
0 YES
0 NO
NEW ADDRESS REQUIRED?
0 YES . 0110
UP /SEPA /SU?
o YES
ONO
PLATTED LOT?
o YES 0 NO
DEMO PERMIT REQUIRED?
0 YES
ONO
• c
Bulletin #l00 r August 16, 2007 Page 2 of 4 . MandoutsTermit Application .