07-106326t
City of Federal Way Plumbing Permit #• 07- 106326 =00' PL
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: a53) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 836 -3050
Project Name: FOREST COVE APTS UNIT A -B -C -D ="
Project Address: 30927 17TH AVE SW Parcel Number: 122103 9006
i
Project Description: Installation of 1 washing machine per unit
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301ST ST
1 CONSC *961 JG (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Plumbing Fixtures
Laundry Washer Outlets ................ 4
PERMIT EXPIRES Thursday, November 26, 2009
Permit Issued on Tuesday, November 27, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wit1 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent' Date:`�� 6
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106326 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30927 17TH AVE SW
FEDERAL WAY, WA 98023 -4389
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 A`pproved , h- Approved to release test
`�
/ rA l (,►,y.l.7v
By Date By \ Date Z �,_ �,� By Date
❑ Final - Plumbing (4075)
Approved
By / %/�% L/ Date I�
For inspector reference only _
D Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
,►� RECEIVED_ b
Faftal Why PERMIT SF � MF CO ME E PL E EN FP
• aolartJHJrrDJtvJtLOplaJrr9aRVtcss NOV 2 ,� 20
999 ?FUMUl:U r, WA J• PO 9718 d I C ATI O N
FBDBAAL WAY, WA 9d069.97Jd
969496.9607 -AU2 -M.5- ?609 CITY QF F qt
BUILDING DEPT,
The following is required Wormation - an incomplete application will not be accepted Please print. legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS _ / / % 7K />li/ LS' cr SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ - _ _ _ LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
I6-Aswpw-pWjbrkrV tyhedd --Vd y
PROJECT • •
i
TYPE OF PERMIT ❑ BUILDING PLUMBING. . O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlvl
PROJECT. NAME (Name of Easiness or Owner Last Namel
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
N PEOPLE INFORbTATION
NAME
PRIMARY PHONE
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
EMAIL ADD"SS
FAX NUMBER
MAIW OADDRESS
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
• CELI. PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
MAIW OADDRESS
CITY, ATE,ZW C.�
CELLPHONE
---?C
- S'.
.�
-3a
CITY OF FEDERAL WAY BUSINESS
LICENSE NUMBER .
EXPIPAMON13ATE
F HER
CONTRACTOR'S RZOISTRATION NUAIDIR
r"HiMION DAM
E-MAIL ADDRESS
C r.•
LD Q b
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
• CELI. PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME TPFRIMARY PHONE E-MAIL ADDRESS
NAME
Per ACW 19.97.096:
Lender information is required i f project value exceeds $5,000 .
MAILINO ADDRESS - •
CITY, STATE, ZIP
PHONE
EXIOTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Indicate number of each type of f xtgre to be installed or relocated as part of this project. Do not include existing fudures to remain.
Value gMechanical Work $ (A g = OF BID OR BMW MUST BE INCLUDED WITH APPLIC,ATI0JQ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOG SETS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS pommmiq
RANGES
REMO. SYSTEMS'
BATHTUBS (or Tub /sh —Combo LAVS (s.Woomswa) URINALS .
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rns.q
ELECTRIC WATER HEATERS SINKS _, WASHINO MACHINES
HOSE BIBBS SUMPS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I esrt(fy under penalty gjperjury that I am the property owner or authorised agent of the property owner. I cart* that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. t eert* that l 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 responsibiltty for compliance with local, state, or federal laws regulating construction or onvirowns ita/ laws.
I farther agree to hold harmless the City of Federal Way as to any claim (including costs, espenses, and attorneys' is" 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 sueh,ckdm arises out of the reliance of the city, including its officers and employess; upon -the accuracy of the information supplied to
the city as a part of this application.
STGNAT1TitE: DATE
o NEW o ADDITION
o ALTERATION
o REPAIR
o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SV?
a YES.
a NO
PLATTED LOT?
OYES ONO
DEMO PERMIT REQUIRED?
o TES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4. MandoutsTermit Application .