07-106335City of Federal Way Plumbing Permit #: 07- 106335 -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 -3650
Project Name: FOREST COVE APTS UNIT A -B -C -D
Project Address: 1703 SW 309TH ST Paocel 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
1C0NSC *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
1 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 went: Date:- d
THIS CARD IS TO REMAIN ON -SITE
-CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106335 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 1703 SW 309TH ST
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 Approved Approved to release test
By Date By QAXI Date 2 —� By Date
® Final - Plumbing (4075)
Approved
By y Date
For inspector reference only _ 4
❑ Rough Electrical ❑ FINAL - Electrical i
Approved Approved
By Date By Date
FOftralWNCEIVED
PERMIT SF MF CO ME E PL DE EN PP
cavwN17Y DNRLOPMW 3IUtVLCBS
399 ?S Sy AVFMM/S SOtilff • PO BOX 97
FLiDSRALWAY,WA 9A 12007 APPLICATION °
9S"3S•26W-AU ?S3 3
The oilo Y T OF FEQERAL WAY
�6*0"*igiatlon -an incomplete application will not be accepted Please print, legibly (in ink) or We.
SITE ADDRESS �TS� \S' �c�/ o �'- f%f 5� _ SUITE /UNI'P # ,
ASSESSOR'S TAX /PARCEL • . _ _ _ — - _ � _ _ ' LOT SIZE (sj)
LEGAL DESCRIPTION (ag. Acme Estates, Lot 1)
PROJECT •
a
TYPE OF PERMIT ❑ BUILDING PLUMBING. . D MECHANICAL.
❑ DEMOLITION D ELECTRICAL D ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this oetmit onlyl
PROJECT. NAME (Name of Business or Owner Last Name)
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
0 PEOPLE INFORMATION
NAME
PRIMARY PHONE
=-S / �/ C
( , _
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
s f r
- 4 --
-�o -
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r c.
CITY, STATE, ZIP
CELL PHONE
MAILING ADDRESS
CITY, STATZ. ZIP G.l
CZI.L PHONE
-�o -
FAX NUMBER
O FEDERAL WAY USIN LICENSE NUMBER
ONDATE
F MBER
(
CONTRACTOR'S REGISTRATION NUMBAR
ZXPIRATION DAT
&MAIL ADDRESS
C
Q� b
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
D Architect b Tenant D Agent D Other
NAME PRIMARY PHONE E- MAILADDRESS
NAME
Per RCW 19.27.095:
Lender information is required i jproject value exceeds $5,000 .
MAUINO ADDRESS
CIfC, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? D YES D NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? D YES D NO
CATER SERVICE PROVIDER O LAKEHAVEN D HIGHLINE D TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
Indicate number of each type of fxtt4re to be installed or relocated as part of this project. Duo not include existing futures to remain.
Value of McQnical work .$. (A COPY OF BID OR ESTIMATE MUST BE INCIAMED WTX APPLICA77019
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (wT b1wwwrcomb4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOG SETS
LAVS ( -W-m "
_ RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAs WATER HEATERS
HOODS K ... d p
RANGES
REFRIG. SYSTEMS
URINALS .
VACUUM BREAKERS
WATER CLOSETS Iraq
WASHING MACHINES
WOODSTOVES
T MISC (Describe)
MISC (Describe)
I corWg under penalty of perjury that I am the property owner or authorised agent of the property owner. I cortVI that to the best of my
knowledge, the information submitted tit support of this permit application is true and corre" I cortVy that I will comply with all applicable
City of Federal ,Way regulations pertaining to the work authorised by the issuance of a permit. J understand that the• issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environnsevital laws.
I jiuther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' Jess incurred in the
investigation and defense of such elah4 which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon -the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
Owner
C
o NEW o ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING 8=1 ONLY?
DYES , o NO
BASIC PLAN?
D YES
o NO
ZONING DESIGNATION
CKAN4E OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
DYES ONO
UP /SEPA /$U?
D YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
o NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4 . MandoutsWermit Application .