07-105783M
City of Federal Way Mechanical Permit #• 07- 105783 -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
1CONSC *961JG (4/7108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
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Mechanical Valuation ................ ............................500 Over the Counter Permit ? ...................................... Yes
R
-- THIS CARD IS TO REMAIN ON -SITE °' •.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105783 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30909 20TH AVE SW Unit D
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 L to, _ 2
❑ Gas Piping (4125)
Approved to release test
By Date
❑ Final - Mechanical (4065)
Approved
Byes Date/ /—
For infector reference on1Y___.._._— __ - -__
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
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WON= M � SF • MF C-
k - PL DE EN PP
5&AV$=X=
?== WA r, WA ;OtfOISIi1/ 1 6 2007
APPLICATION,
tS! t!Sl601.1A17lSt�ibl6d9 / /
FWERAL WAY
The following A6wm99�'it6Qn —an incomplete application will not be accepted please print. Ugibk (ln inki or type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL i
J_asZz3j 0-3- y o v �
.LEGAL DESCRIPTION leg. Aane Estates, Lot 1)
149" _PwmkPwArS_f" kvd d_004
TYPE OF PERMIT
O BUILDING O
O DEMOLITION O
PROJECT DESCRIPTION (Arovide detailed description ^r•s „.r Nn^h• "sd on this Remit onlvl
PROJECT-NAME (Name of Business or Owner
LOT SIZE (8)7
O FnM PREVENTION SYSTEM
PROPERTY* NA MS Pw MARY PHONE
OWNER o •ve LLC -
MMUNO ADDRESS CITY, 8TA ZIP E-MAIL ADDRESS
CONTRACTOR
APPLICANT
I
PROJECT
CONTACT
LENDER
EXISTING IJSE
NT;RAO'I'OR
ft
MmISTRI►TIOR XUAUX { '-
• GZ`el
ZIP MPH NS
T FAX f BU1I SR
RUMATION DATD •� S-MAI ADDRESS
COMPANY
PUCWXAMS
OPFICS PHONS
-
MAIL— AnnRMR I CnY. STATE, ZIP
CZLL PHONS
07
RUATIONSHIP TO K65 WT
FAX NUMBIR
0 Architect o Tenant o Agent o Other
( ) -
NAMS PRWARY PHONE S- MMLADDRSSS
Chi -
KAM& -
Per RCW 19.27.0951
Lender infaimattOn is requirmf1prqfect value exceeds $5,000 .
MMUNO ADDRESS
CITY, STATE, ZIP
PH
EXISTING ASSESSED /APPRAISED VALUE
SP.RINKLERED BUILDING? 0 YES
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK S
)N SYSTEM PROPOSED /REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER D L�HAVEN O HIGHLINE TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN 13 HIGHLINE a MUTE (SEPTIC)
AREA DESCRIPTION I EXISTING PROPOSED I TOTAL
— - -- - - -- SQ. FT. SQ. FT, SQ. FT.
I'nselrullrlrr
GARAGE • 13 CARPORT O
NUMBER OF FLOORS i"rw rorAs sr roresrsarosssr roressr
e'NEW ROWS ONLY**.. NUMBER OF B ROOMS ESI7MATED SE11 M CE �-
Indicate number of each type of fExture to be installed or relocated as part of this project. Do not include existing f fixtures to remain.
I oertUk under penalty of perjury that I an the properly owner or authorised agent of the property owner. I eortW that to the best of my
knowle dye, the Wormation submitted lit support of this permit application is true and correct. I aortal that I Will compk with all applicable
City of rederal.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 responsibillig for compliance with local, state, or,federal laws regulatinj construction or environmental tapws.
Ifurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and atterasys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and'Jlled against the city, but only
where such.elaim wises out of the reliance of the city, including its offleers and emplgyees; upon-the accuracy of the infohnation supplied to
the elty as a part of this application.
SIGNATURE: /id /y_/�V _ DA'!'. ' ; � hh
I
. o NEW a ADDITION
a ALTERATION..
a REPAIR
o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
AIR HANDLING UNITS
EVAPORATIVX COOLERS OAS PIPE OUnsm WOODSTOVES
BBQS
FANS
OAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSER'T'S
HOODS (c....dy
COMPRESSORS
FURNACES
RANOES
�_ DUCTS..
tiA�LOtiEm1'8''
iS�k: • •
.
i13lBI1VG ' .
BATHTUBS (wr.yse.wrce.b4
LAVS pa.
•
URINALS —T_ MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM 1 }REAICER9
DRINIGNO FOUNTAINS
SHOWERS
WATER CLOSETS Rw.O
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE B1BBS
SUMPS
I oertUk under penalty of perjury that I an the properly owner or authorised agent of the property owner. I eortW that to the best of my
knowle dye, the Wormation submitted lit support of this permit application is true and correct. I aortal that I Will compk with all applicable
City of rederal.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 responsibillig for compliance with local, state, or,federal laws regulatinj construction or environmental tapws.
Ifurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and atterasys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and'Jlled against the city, but only
where such.elaim wises out of the reliance of the city, including its offleers and emplgyees; upon-the accuracy of the infohnation supplied to
the elty as a part of this application.
SIGNATURE: /id /y_/�V _ DA'!'. ' ; � hh
I
. o NEW a ADDITION
a ALTERATION..
a REPAIR
o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
0 YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES • a NO
W /SEPA /SU?
o YES•
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 � August 16, 2007 Page 2 of 4 , MandoutsTamit Application _