07-105782City of Federal Way Plumbing Permit #• 07- 105782 -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: 30909 20TH AVE SWIM 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
E��ur>x. ,ing Fixtures
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 a
I the use will bq:�aAc prdAnce wi(la the laws, rules and regulations
Owner or
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105782 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit C
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 Date By Date
❑ Final - Plumbing (4075)
Approved
Bye Date j (- Z ---)7
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
PERMIT 07 - 0 � -;- - - -
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The following is requirwin jotmatton -an incomplete application will not be accepted. Please print.kgibbi On ink; or type.
SITE ADDRESS _ 347 9Q q i s BUITE /UNI`t' i,
ASSESSOR'S TAX /PARCEL • . - cI ti 'V LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Aane Estates, Lot 1)
IAN-*#q-P Arhr*wk0&W"4
PROJECT INFORMATION
TYPE OF PERMIT 1] BUILDING *SING. • D MECHANICAL
D DEMOLITION D ELECTRICAL D ENGINEERING D FIIZE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description -f --rip in^Asofed on this hermit only)
( d At; i 1 16 CIA fAl-
PROJECT-NAME (Name of&a ni ,g,�,t or Owner Last Namel
PROPERTY. NAMS PRIMARY PNONS
OWNER V °L c -
MAIUNO ADDRESS CITY, 8TA ZIP S MAIL. ADDRESS
— iu/tGG 98'
CONTRACTOR
�1% _ MA1 ADDF
NTRAe30R
APPLICANT
PROJECT
CONTACT
LENDER
EXI=STING USE
mmurrxA•r:on IlyrIiDzx '-
COMPANY 0
Nag
OFFICE PHONS -
PA V— 1 CITY. STATE, ZIP
CFAZ PHONE
RBIA77ONSHIP TO PROJECT /
FAX NUMBSR
D Architect D Tenaat D Agent D Other
NAME PRIMARY PHONE Z-MAIL ADDRESS
G7 -
MS -
PerRCW 19.99.095:
Lender information is regu prgjeet value sxeeeds $5,000. '
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRIMERED BUILDING? D YES
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK
SYSTEM PROPOSED /REQUIRED? DYES ONO
WATER SERVICE PROVIDER D I,HAVEN (3 HIOHLINE TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN 0 HIGHLINE D PWATE ISEPTIC)
• BASEMENT
GARAGE -0 CARPORT O
NUMBER OF FLOORSe
11NSWN071�'SONLY"• NUMBER OF B ROOM:
Mg" E, PROPOSED MENEEM
ESTIMATED SELZING PRICE $-
Indicate number of each type of furhtre to be installed or relocated as part of this project. Do not include existing fidures to remain.
Value ofMedtianieal Work (A iii OF BID OR ES77MA7S M=BE INCLUDED WU771 APPLICA77019
AIR HANDLING UNITS EVAPORATPVZ COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS M1SC (Describe)
BOILERS FIREPLACE INSERTS HOODS p.. md4
COMPRESSORS FURNACES RANGES
DUCTS OAS LOO SETS • REFRIO. SYSTEMS
BATHTUBS 1wT4b /X1— rc..b4 IAVS puce«." URINALS _r _ MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINIONO FOUNTAINS SHOWERS WA127R CLOSETS pas q
ZLECTRIC WATER HEATERS SWIGS _� WASHING MACHINES
HOSE BIBBS SUMPS
I eer" under penalty of perjury that I an the property owner or authorised agent of the property owner. I Bert(& that to the best of my
knowledge, the information submitted In support of this permit application is true and correct. J cort(& that! will comply with all applicable
City of Tederal ,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 responiibilitg for compliance with total, state, or federal laws regutaiiny construction or environmental lgwo.
l f urther agree to hold harmless the city of Federal Way as to any claim Moluding costs, kWonses, and attorneys' fees incurred in the
investigation and defense of such claim►, which may be made by any person, inchrding the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its ofjieers and empleyces, upon the accuracy of the irlfeimation supplied to
the city as a part of this application.
SIGRATURE: L2 a w / i/ 62 i�L _ DATE I,
. o NEW a ADDITION
a A' LTERATION..
a REPAIR
a TENANT IMPROVEIDW
BUILDING SHM ONLY?
o YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES • a NO
UP /SEPA /SU?
a YES.
ONO '
PLATTED LOW?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
ONO
0
Bulletin #100 A August 16, 2007 Page 2 of 4 . MandoutsTermit Application _ '