07-106332VA
City of Federal Way Plumbing Permit #' • 07-106332-00-PL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (263) 8355 - 30660
Project Name: FOREST COVE APTS UNIT A -B -C -D
Project Address: 30937 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 301ST ST
ICONSC *961JG (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 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: " a
THIS CARD IS TO REMAIN ON -SITE
CITY 00 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106332 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30937 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 thc,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 By Date
❑ Final- Plumbing (4075)
Approved
By Date
II
cara
Farm ty .
CQUNUM1YD8VMOPMW SBRVIC&4
3332$ AVSNUB SOUTH - PO BOX 9714
FBDBM WAY, WA 9.063.971 •
953435.9607- PAX 953435.9609
PERMIT
APPLICATION
Q -7 - 1:0 5? •
SF ' MF CO ME E PL E EN PP
The following is required trilormation -an incomplete application will not be accepted. Please print.iagibty (in ink/ or type.
PROPERTY • •
SITE ADDRESS _ C Z 7 / 2-,-4, SUITE /UNIT t
ASSESSOR'S TAX /PARCEL If . _ �. _ _ - _ _ _ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/�«�.�oe.y�.p.Lwplhy�eaivd�►
PROJECT . •
a
TYPE OF PERMIT O BUILDING PLUMBING • O MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
.r ,.rl-
PROJECT. NAME (Name of Business or Oumer Last Name)
PROPERTY
NAME
PRIMARY PHONE
OWNER
CITY, STATE, ZIP
-
MAl O ADDRESS
MAILINO ADDRESS
CITY, STATE, ZIP
EMAIL ADDRESS
FAX NUMBER
7
CITY OF FEDERAL WAY USIN &F-NUMBER .
TION TS
CONTRACTOR
APPLICANT
PROJECT
I' =ACT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r.
CITY, STATE, ZIP
CELL PHONE
MAl O ADDRESS
CITY, ATE, ZIP e_,)ePw
CELLPHONZ
REI.ATIONSWP TO PROJECT
FAX NUMBER
7
CITY OF FEDERAL WAY USIN &F-NUMBER .
TION TS
F BSR
CONTRACTOR -8 REGISTRATION NU 8
X"UtATION DA
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
-
REI.ATIONSWP TO PROJECT
FAX NUMBER
a Architect a Tenant o Agent a Other
NAME
PerRCW 19.97.095:
Lender infaimation is required ijprofeet value exceeds $5,000 .
MAILINO ADDRESS
CITY, STATE, ZIP
/PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE S VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN o HIGHLINE a TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ii PRIVATE (SEPTIC)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing f xtures to remain.
Value of Medutnical Work (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WrM APPLIC477019
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS I.rrub /ah. —C—bO
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOO SETS
LAVS pathmom smt4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS fc
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS (rs.q
WASHING MACHINES
WOODSTOVES
T_ MISC (Describe)
MISC (Describe)
I cerft under penalty of perjury that I am the property owner or authorised agent of the property owner. I certjfy that to the best of my
knowledge, the information submitted in support of this permit application is true and correcL 1 certo that I 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 responsibittty for compliance with local, state, or federal laws regulating construction or environmental laws.
I f urther agree to hold harmless the City of Federal Way as to any claim /including costs, 'expenses, and attorneys' fees incurred in the
investigation and dgfense of such claim), which may be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its officers and employses; upon•the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE:
e,�Z Nl a
o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES 0 NO
UP /SEPA /SU?
o YES.
o NO
PIATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
0 NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4. k\landouts\Pennit Application .