07-105777City °e Federal
lopments Mechanical Permit #• 07- 105777 -00 -ME
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 SW � Parcel Number: 122103 9141
Project Description: Install (1) duct and (1) fan for washer /dryer 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!7108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Idtkt�lrr )Fermi# rinform�0On;
Mechanical Valuation ................ ............................500 Over the Counter Permit ? ...................................... Yes
,
ll�+ltanial >cixtures
sir 3,
Ducts............... ............................... 1 Fans................. ............................... 1
Owner or agent:
,OCT 192001
described property, e
e State of 1 ilirl on
See Applcatt
Date:
,OCT 192001
A'
THIS'UARD IS TO REMAIN ON -SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105777 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit A
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date I Zj _ 2 b _ ,p By Date BygrCC� Date//,'— Z
For inspector reference only___.____
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
F-
15,•t „� o7rAxas,a,sras E
CEIVE� PERMIT
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SF MF CO N E EL PL DE EN PP
PIDMU 6 2007APPLICATION
The foliowin� r H91 a � an incomplete application will not be accepts& Please print. legibly (in” or type.
ASSESSOR'S TAX /PARCEL t U LOT SIZE (sn
.LEGAL DESCRIPTION (ay. Acme Estates, Lot 1)
(ift* aq"pwA► kMft MId •-04
PROJECT INFOIUIATION
TYPE OF PERMIT O BUILDING O PLUMBING HANICAL
O DEMOLITION O ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /Provide detailed description i— hoofed on this 2ermit ontW
PROJECT NAME (Name of&siness or Owner Last Name/
PROPERTY' NAME PRIMARY PHONE
OWNER Q -
MAIUNO ADDRESS CITY, 'TA ZIP 11 -MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
ERIOTING IISE
ONTRAC'TOR'
s-�� -s
L WAY BUSUi88 CBtr�a...,r:6
RZ011STamon numbZA
'A
10 Y V`�►Vl �/ I APPLIG
La I CITY. S",
OFFICS PHONE
C LL PH NS
FAX NUMBER
S -MALI. ADDRESS
0MC9 PHONE -
CELLPHONE
1 1 _
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME -
Per it w 19.97.095t
Lender its formation 1+ requ prq/ect value exceeds $5,000 .
MAILING ADDRESS
CITY, STATE, ZIP
PHONS
EXISTING ASSESSED /APPRAISED VALUE
SPRIIiKLERED BUILDING? o YES I i0 FIRE SUPP
WATER SERVICE PROVIDER 0 HAVEN 0 HIGHLINE
SEWER SERVICE PROVIDER VEN O HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK
41
SYSTEM PROPOSED /REQUIRED? 0 YES O NO
TACOMA 0 PRIVATE (WELL)
ARFAA AF.SCRwrlon I .E7IISTING I PROPOSED I TOTAL
Izs
D CARPORT
NUMBER OF FLOORS aO "VA1 ''OM ° soau.sr
••IVEW,HOMW ONLY'• .. NUMBER OF B ROOMS ESTIMATED SELLING PRICE �-
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.
MECHAWCAL o� .
Value of Mechanical Work (A ma OF BID OR mums MUST •BE INCLUDED WITH APPL1CA770NJ
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS OAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS 1c....�.i.A
COMPRESSORS FURNACES RANGES
_ DUCTS OAS LOG SETS REMO. SYSTEMS
BATHTUBS (.r Tub1sbwvrc..b.l LAVE p.er..." URINALS ,T_ MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKINO FOUNTAINS SHOWERS WATER CLOSET'S lr s.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cart* under penalty of perfury that I am the property owner or authorised agent of the property, owner. I eorttJul that to the best 4 m
knowledge, the bVormation submitted iii support of this permit application is true and eorreot. I eor ft that t will comply with all applicable
City of Federal.Way regulations pertaining to the work authorised by the issuance of a permit. *1 understand that the issuance of this permit
does not remove the ownses responsibility for oomplianee with toea4 state, or federal laws regulating construction or en• uironmentat tows.
l f further agree to hold harmless the City of Federal Way as to any stain (including costs, expentss, and attorneys' fees incurred in the
investigation and defense of such Blain), which may be made by any person, including the undersigned, and filed against the city, but city#
where such.etaim arises out of the reliance of the city, including its offieers and emptoyses; upon the accuracy of the ir{/ormation supplied to
the city as a part of this application
SIONATM:
.O NEW o ADDITION
a ALTERATION..
o REPAIR
o 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 , o NO
UP /SEPA /87j?
o YES-
o NO '
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO•
Bulletin 11100:;, August 16, 2007 Page 2 of 4 . kViandoutsli?ermitApplication .