07-105779City of Federal Way
Community Development Services Mechanical Permit #: 07-105779-00-ME
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 Swam 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 (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003 J
A dwl� It( lnfo r
!on
'x
Mechanical Valuation ................ ............................500 Over the Counter Permit? ................ ..................... Yes
x.
%
ixturos
Ducts.............................................. 1 Fans................. ............................... 1
Owner or agent:
'ERMIT EXPIRES Monday, October 19, 2009
Permit Issued on Friday, October 19, 2007
Vill
See App I C
,OCT 192007
if Federal Way. zjee'Applicat
on Date:
,OCT 192007
F THIS •CARD IS TO REMAIN ON -SITE z
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105779 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit B
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)
Approved
By Date Q —,x
❑ Gas Piping (4125)
Approved to release test
By Date
❑ 'Final - Mechanical (4065)
Approved
By Date/l —a
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
FaftralWmy PERMIT
onxlrtlnmasYalarlt>urtssxvlcs4' J - j 1 6 20 7 SF ' MF CO � EL PL DE EN PP
999 ?SIMAP6IYUE, WA 98 PPLICATION
rsaeRA6 WAY, V 9106J-9711 zsssu.Cftm% a�° tpY OF �Ea R T�
0WIL1a1Wp C)r
Thi following is required !1'{jormation - an incomplete application will not be accepted. Please print. legibly (in ink) or type.
ASSESSOR'S TAX /PARCEL i -L s22-1 SQL L .�2 3 . - / o.0
SUITE /UNIT
LOT SIZE (sn
LEGAL DESCRIPTION (ag. Acne Estates, Lot 1)
(+Umh ~JbrMWw hod "-0"# •
TYPE OF PERMIT O BUILDING O PLUMBING MECHANICAL
O DEMOLITION O ELECTRICAL 13 ENGINEEiING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^f marl- in ^A,,+sd on this permit onlvl
PROJECT-NAME (Name of Business or Owner Last Hamel
PROPERTY' NAME PRI RY PHONE
OWNER o Ve— G c -
MAIUNO ADDRESS CITY, STA ZIP 11 -MAIL ADDRESS
0i /�vu.� 178,
CONTRACTOR
APPLICANT
t
PROJECT
CONTACT
LENDER
EXISTING USE
ON7'RAC'fOR
h
RZ019TRATIOn nUAMM r
C LL PH N8
/PAX MBER
. w E-h" ADDRESS
COMPANY
APPUCANT NAME
OFFICE PHONE -
MAIL-- AnnRMn I CITY, STATE, ZIP
CELL PHONE
/>J
R IA ONSHIP TO PROJECT /
FAX NUMBER
O Architect o Tenant 0 Agent a Other
NAME PRIMARY PHONE EMAIL ADDRESS
ME
Per RCW 19.97.0981
Lender information is requipmr1project value exceeds $15,000 .
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? a YES
WATER SERVICE PROVIDER O HA
SEWER SERVICE PROVIDER AKEHA
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE 8 3IO" SYSTEM PROPOSED /REQUIRED? OYES 0 NO
• HIGHLINE TACOMA O PRIVATE (WELL)
• HIGHLINE O ATE ISEPTICI
AREA DESCRIPTION
• WPM]
- - -- RST
NUMBER OF FLOORS
•'NSWlYOM&401&Y`• . NUMBER OF
EXISTING
ESTIMATED SELLING
PROPOSED I TOTAL
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing furtures to remain.
Value of Medumical Work $_ ^ (A Of' OF BID OR ESTIMATE MUST •BE INCLUDED WITH APPMCA770NJ
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS OAS WATER HEATERS MISC )Describe)
BOILERS FIREPLACE INSERTS HOODS K....a.A
COMPRESSORS FURNACES RANOES
DUCTS OAS LAO SETS REFRIG. SYSTEMS
BATHTUBS (e,TUb /eb.w.r'comeel LAVE (s.W... URINALS MISC Pescn'be)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS R.n.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
T cortifq under penalty of perjury that I am the property owner or authorised agent of the property owner. I oertjN that to the best of sry/
knowledge, the irVormation submitted IA support of this permit application is true and correct I ow to that I will compig with all applicable
City of Federal. Way regulations pertaining to the work authorised by the issuance of a permit 7 understand that the issuance of this permit
does not remove the owner's responsibiltty for compliance with local, state, orfederal laws regulating construction or environmental twa
! further agree to hold harmless the City o f Federal Way as to any claim Mcluding eosts, iWonses, and attornspe fees incurred in the
investigation and defense of such clab4 which may be made by any person, including the. and flied against the city, but onV
where such claim arises out of the reliance of the city, including its ofjiears and employees; upon -the accuracy of the infoimation supplied to
the city as a part of this application
f. • 7 iJ
SIGNATURE:
v
o NEW o ADDITION
n ALTERATION..
o REPAIR
o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES , o Na
BASIC PLAN?
0 YES
o NO
ZONING DESIGNATION
C W03 OF USE?
o YES
o NO
NEW ADDRE$9 REQUIRED?
o YES , o NO
UP /SEPA /SU?
o YES.
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
P
Bulletin #100,.L August 16, 2007 Page 2 of 4 . MandoutsTelmit Application .