07-105780t
City of Federal Way
+ Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
' Ph: (253) 835 -2607 Fax: (253) 835 -2609
+ I S
Plumbing Permit #: 07- 105780 -00 -PL
Project Name: FOREST COVE APARTMENTS
Project Address: 30909 20TH AVE SWAOM
Project Description: Install washer /dryer unit (1) laundry washer outlet
Inspection Request Line: (253) 835 -3650
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 (4n108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
u R - (wmbr/r FiXtUres
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
I hereb oe' l that the above information is correct and that the construction on the above described property and
the occupatW,and the use will be,IL, oorr a with the laws, rules and regulations
ge Applicatk
B State of Washington
Owner or agent: Date'
tDCT 192001 OCT 1 92D07
THS CARD IS TO REMAIN ON -SITE {
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105780 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit B
FEDERAL WAY, WA 98023
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 By C Date ' d _ .Z _ By Date
❑ Final - Plumbing (4075)
Approved
By,�jj( Date lK e-.7-7
For inspector reference only 4
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
.PERMIT
ooluGl xtrrDaYSCOrtrsx>ls g'v SF MF CO ME E :PL>E EN PP
�s�s�++AVdNUasamt�PO� 6 2007
ofA AW4. APPLICATION
11niQ p WAY'
The following is required i T WAY,
-an incomplete application will not be accepted. Please print. leg. ibly (in inN or typo.
SITE ADDRESS _ :: oo 2 ?� j t0'S
ASSESSOR'S TAX /PARCEL f
LOT SIZE (sn
,LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT b BUILDING lodmMING . D MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of on this permit onlul
L-) trW A ,- 5
� t
PROJECT- NAME (Name of Business or Owner Last Name)
PROPERTY NAME PRI RY PHONE
owNER . p d� G ( ) -
MAILINO ADDRESS CITY, 8TA ZIP E -MAIL ADDRESS
CONTRACTOR
QV,
ONTRAOrroa
.ry ..
APPLICANT
f
PROJECT
CONTACT
LENDER
EXISTING USE
/ i
S/
REoIsTaAmon Nus[eER r
COMPANY
APPLICANT NAME
OFFICE PHONE
-
� �.un •nnRmq CITY. STATE, ZIP
• CELL PHONE
RELATIONSHIP TO PROJECT /
FAX NUMBER
0 Architect 0 Tenant 0 Agent D Other
( -
NAME PRIMARY PHONE 8 MAIL ADDRESS , �::].
MANX -
PsrRCW 19.97.096r
lender irk formation is requ projrcf value sxeeods ;5,000 .
MAIWNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINiMERED BUILDING? 0 YES '0�0 FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? o YES O NO
WATER SERVICE PROVIDER (3 L HAVEN D HIGHLINE TACOMA t] PRIVATE RUL)
SEWER SERVICE PROVIDER VEN 0 HIGHLINE D PWATL (SEPTIC)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fudures to remain.
Value cif Med tanical Work $ A = OF BID OR ESTIMTE MUST IRE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS OAS LOG SETS
BATHTUBS (w7Lb /sb. ..... c..b4 LAVS pahmas(nt.i
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS M1SC (Describe)
HOODS Icv..
RANOES
REFRIO. SYSTEMS
URINALS �_ MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS Irn.q
_ WASHING MACHINES
Jr corn fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eertj& that to the best of my
knowledge, the LVormatton submitted LA support of this permit application is true and correct. I cert(& that i will eomphy 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 iota/, state, orlederal laws regulating construction or onvironmeoitai lgwi.
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 clab4, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliant* of the city, including its officers and emp/oyses; upon•the accuracy of the infohnation supplied to
the city as a part of this application.
SIGNATURE:
Z'•1 l k I tr
o NEW o ADDITION
n ALTERATION ..
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
0 YES
o NO
ZONING DESIGNATION
CHANQE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES , o NO
UP /8EPA /10?
o YES•
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 � August 16, 2007 Page 2 of 4 . k4landoutsTermit Application .