07-104675s
City of Federal Way
.:ommunity Development Services
P.Q. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbing Permit #: 07- 104675 -00 -PL
Project Name: FOREST COVE BLDG 1714
Project Address: 1714 SW 308TH PL
Project Description: Installation of (4) washing machines
Inspection Request Line: (253) 835 -3050
Jl
Parcel Number: 122103 9142
Owner
Applicant
Contractor
FOREST COVE -388 LLC
EVERGREEN CONTRACTING
EVERGREEN CONTRACTING
12000 NE 8TH ST SUITE 200
2531 BROADWAY SUITE A
EVERGC *95 *BQ (1/18/2009)
BELLEVUE WA 98005
EVERETT WA 98201
2531 BROADWAY SUITE A
EVERETT WA 98201
Owner or agont:
J1wR�
It
` THIS CARD IS TO REMAIN ON -SITE `
CITY OF Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104675 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 1714 SW 308TH PL
FEDERAL WAY, WA 98003 -4921
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) [3 Rough Plumbing (4230) 0 Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By C,i �,� Date �, — By Date
Q Final - Plumbing (4075)
Approved
B Date to - 27
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Fd ar iNay RECEN E PERMIT
COMMUNITY,DEVELOPMENTSERVICES SF MF CO ME E PL DE EN
33325 8TH UESOUTH 60 BOX 9718 AUG APPLICATION FP
FEDERAL DERAL AVENUE
WAY, WA 98063 -97718 TD
25.3 -835 -2607• FAX 253. 835.2609
unlrtu.cituo((ederulwau. com
The foIIoudng is require -{n "l onlplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS�L SUITE /UNIT #
ASSESSOR'S TAX /PARCEL p _ _ _ _ _ - _ _ — _ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attach sepamwpage for lengthy legal dery rpnon/
ff
PROJECT INFORMATION
TYPE OF PERMIT. ❑ BUILDING AFLUMBING AMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
NAME
PR1MA PHONE
OWNER
C I)
()
CITY OF FEDERAL WAY BUST SS LICENSE NUMBER EXPIRATION DATE
MAILINGADDR SS
CITY, STATE ZIP
E- MAILADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRES
CITY. STATE, ZTP
CELL PHONE
CITY OF FEDERAL WAY BUST SS LICENSE NUMBER EXPIRATION DATE
FAX-NUMBER'
(
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
p
E- MAILADDRESS
1 -Hep`
COMPANY NAME
zm -e14
APPLICANT NAME
OFFICE PHONE
( -
MAILING ADDRE5T te
STATE, ZIP
CELL PHONE,
RELATIONSHIPTO P CT
❑ Architect. ❑ Tenant ❑ Agent ,Other
FAX NUMBER
NAME —r-1; RIMARY PHONE E -MAIL ADDRESS
NAME Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING AD RESS CITY, STATE, ZIP I PHONE
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE __� '
VALUE OF PROPOSED WORK $ 57V Af''Uhi'f
SPRINKLERED BUILDING? • ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES D NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
-k AREA DESCRIPTION
~
EXISTING
S . FT.
PROPOSED
3 . FT.
TOTAL
S . FT.
BASEMENT
LAVS (Bathroom sinks)
URINALS
(Describe)
MISC D
( )
FIRST
ZONING DESIGNATION
SECOND
RAINWATER SYST
VACUUM BREAKERS
o YES o NO
THIRD
UP /SEPA /SU? oRYES
WATER CLOSETS
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
DEMO PERMIT REQUIRED? n YES
o NO
DECK (❑ COVERED OR 0 UNCOVERED ?)
SINKS
(Toilet)
WASHING MACHINES
GARAGE ❑ CARPORT ❑
SUMPS
NUMBER OF FLOORS
E7QSTWO
PROPOSED
TOTAL
TOTAL ESISTWO SP
TOTAL PROPOSED SF
7MAL sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS _ ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do riot include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE GAS PIPE OUTLETS WOODSTOVES
COOLERS
BBQS FANS HEATERS GAS WATER M ISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (CommernW)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
o ALTERATION
0
BATHTUBS (or Tub /Sbow r
LAVS (Bathroom sinks)
URINALS
(Describe)
MISC D
( )
Combo)
ZONING DESIGNATION
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
o YES o NO
UP /SEPA /SU? oRYES
WATER CLOSETS
PLATTED LOT?
DRINKING FOUNTAINS
SHOWERS
DEMO PERMIT REQUIRED? n YES
o NO
ELECTRIC WATER
HEATERS
SINKS
(Toilet)
WASHING MACHINES
HOSE BIBBS
SUMPS
I cert((y under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(ly that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I 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 environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), which m made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance oft ct uding its car d employees, upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
Owner and /or Au
F`QIL` 0F`FIG IJSE�+DN1:T
DATE _ Z'
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? a YES
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU? oRYES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? n YES
o NO
Bulletin # 100 -August 16, 2007 Page 2 of 4 k\Handouts\Pelmit Application