07-105781City of Federal Way
Community Development Services • Mechanical Permit #• 07- 105781 -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 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
1CONSC *961JG (4/7108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07-105781-00-ME
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit C
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 — Z1:— O By Date By ,:K Date // 2
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
di `► PERMIT
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7J1?SSfiAY;NIlr,WA1Ht"7 f7; 1 6 zoo'APPLICATION
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Ths joilowing le required �i{Por►Ittxblon — an incomplete application will not be accepted. Please print•legibbj (in" or type.
SITE ADDRESS . 3
ASSESSOR'S TAX/PARCEL i _l__ A?, .3
BVITE,UNI't' #
LOT SIZE (a J
LEGAL DESCRIPTION (ag. Acme Estates, Lot 1)
PROJECT INFOlUTATION
TYPE OF PERMIT O BUILDING O PLUMBING. . �ZENCONINEERMG HANICAL
O DEMOLITION O ELECTRI O O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description In^Aoefsd on this permit onlvl
PROJECT NAME (Name ojliits Un or Owner Last Hamel
PROPERTY' NAME PRI PHONs
OWNER Q cove— C -
MAIUNO ADDRS88 C17Y, 8TA ZIP E-MAIL ADDRESS
s' . /"d,6 q8'
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
i
J/
xIMINTSA•nvn NUjMZR r
coMPANr c�
APPU CAM MUS
oPlncs PHONa -
MAlLun •nnonxa I CITY. STATS, ZIP
• CELT. PHONE
�l
RZIATIONSHIP TO PROJECT /
PAX NUMBS
O Architect D Tenant D Agent D Other
mug PRIMA PH AIL
ONS s•MADDRESS
G1 -
Sa
XAMZ -
PerRCW 19.97.096t
Lender inI foinwtion is requ prgJeot value exceeds $6,000. '
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING AsSESSED/APPRAISED VALUE
SPRINKLERED BUMDING? 0 YN
FIRE
PROPOSED USE
LUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? U YES a NO
WATER SERVICE PROVIDER D LAIdHAVEN D HIGHLINE TACOMA O PRIVATE (ML)
SEWER SERVICE PROVIDER ZIAXEIUVEN D HIGHLINE O PWATR (SEPTIC(
PROPOSED I TOTAL
BASEMENT
FIM
SECOND
h
THIRD
ADDITIONAL F1,001
DECK (O COVERED
naoenwr.n r+eoonom n
NUMBER OF FLOORS zxw 'so MA "WA= roaacrserorssar mmar
e'NSWXOMS ONLY''• . NUMBER OF BRKROOt.6 ESTIMATED SEUMG PRICE $_
Indicate number of each type of f xtare to be installed or relocated as part of this project. Do not include existing fixtures to remain.
DaECFIAMCAL V�-
Value of Uedutn4ml Work S o (A Off OF ED OR ESTUTATS MUST BE INCLUDED WITH APPIJCA17019
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS �_ FANS OAS WATER HEATERS M1SC (Describe)
BOILERS FIREPLACE INSERTS HOODS lC...adq
COMPRESSORS FURNACES RANGES
. DUCTS OAS LOO SETS REMO. SYSTEMS
BATHTUBS pars /se...rc..b.l LAVS pwh..." URINALS �_ MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKINO FOUNTAINS SHOWERS WATER CLOSETS lrm.q ,
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
1 eartVs under penalty of perjury that 1 am the prop" owner or authorised agent of the prep" owner. I sort(& that to the best of my
knowledge, the information submitted iA sgppert */-this permit application is true and oorrooL J W" that I will eomp(g with all applicable
City of Federal ,Way regulations pertaining to the work authorised by the issuance of a permit.? understand that the, issuance of this permit
does not remove the owner's responkOtltty for compliance with local, state, or federal laws regulatinj construction or errvironmsntal lows.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, awrpenses, and attorneys' fees incurred in tho
investigation and defense of such claim,, which may be made by are person, including the under9pned, and Jlled against the city, but only
where such.elaim art*" out of the reliance of the city, including its efJleers and empteyess; upon-the accuracy of the igfoimatlen supplied to
the city as a pait of this appliedH02%
8rGNATUkZ:
C W o ADDITION
aALTERATION..
o REPAIR o TENANT IMPROVEMENT
71i3DPG 8HELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
NG DESIGNATION
CHANQE OF USE?
o YES
o NO
ADDRESS REQUIRED?
o YE8 • o NO
UP /8EPA /8U?
o YES.
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin 11100.: August 16,2N7 Page 2 of 4 . MandoutsTennit Application _ +