07-106329a
nityDivedpmentS Plumbing Permit #: 07- 106329 -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 APTS UNIT A -B -C -D
Project Address: 30923 17TH AVE SW Parcel Number: 122103 9006
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 301 ST ST
1CONSC *961JG (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301 ST 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way:
Owner or agent: Date:
THIS CARD IS TO REMAIN ON- SITE{
.C1W OF. A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106329 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30923 17TH AVE SW
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
By Date %z /
For infector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
arrup
Federal W, hy
6l DMMUMIY D&VSLOPBBBr 8811VR:B8
39925 tk AV8WZ SOUIR • PO BOX 9716
XXII&A LWAY, WA 98062-9718
259.895- 2607• ?AX 25949S -2609
PEcEivPERMIT
LvovARBLICATION
c 3- 41
SF MF COME EL'L E EN PP
CITY OP F
The following is required application will not be accepted. Please print•kgibjy (irt ink) or type.
• O•
BITE ADDRESS SUITE /UNI'P # A
ASSESSOR'S TAX /PARCEL •
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(���vro�h►�Yh�aralvaraV
TYPE OF PERMIT
❑ BUILDING
O DEMOLITION t]
LOT SIZE (s•)
PLUMBING MECHANICAL �►
�LECTRICAL ❑ ENGINEERING O ,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descr;ption of work included on this Permit oniul
PROJECT-NAME (Name of Business or Owner Last Name1
PROPERTY'
NAME
PRIMARY PHONE
OWNER
CITY, STATE, ZIP
-
MAILING ADDRESS
MAILING ADDRESS ,y
L �r A _.
CITY, STATE, ZIP
E- MAILADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAM&
OFFICE PHONE
C
CITY, STATE, ZIP
.
MAILING ADDRESS
CITY, STATE. ZIP
CRIA PHONE
S
3
-.fib
O FEDERAL WAY USIN WC- EIISE NUMBER .
EX TION TE
FAXWUMRzR
CONTRACTOR•8 REGISTRATION NUMBER
EXPIRATION DAT
E-MAIL ADDRESS
C
Q�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
_
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant o Agent ❑ Other
( -
NAME
TPR1MMLAV"V,PHON1! EMAIL ADDRESS
MB
Per RCW 19.27.0951
Lender igfoimatton is required if project value &weeds ;6,000 .
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
Q%ATER SERVICE PROVIDER ❑ LAMIAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
M
Indicate number of each type of fudwe to be instaUed or relocated as part of this project. Do not inadede existing Jixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLI(.A770NJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS T_
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (comm woQ
COMPRESSORS
FURNACES
RANGES _
o NO
DUCTS
OAS LOO SETS •
REFRIO. SYSTEMS
UP /SEPA /SU?
a YES.
o NO
PLATTED LOT?
o YES a NO
BATHTUBS (or Tub /Mwwwcomb4
LAVE (saw —sw*
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (ron4
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
i cerWy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eorft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cot* that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I uhderstand 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 laws.
I J&rther agree to hold harmless the City Qf Federal Way as to any claim (including costs, 'expenses; and attorneys' fees incurred in the
investigation and defense of such claim), which may be made by any parson, 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 apart of this application.
SIGNATURE:
o NEW o ADDITION
o ALTERA'T'ION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. a NO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
a YES.
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO•
Bulletin #100,1 August 16, 2007 Page 2 of 4. MandoutsTamit Application .