07-1057164 T
City of Federal Way Plumbing Permit #• 07- 105716 -00 -PL
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 APTS
Project Address: 30801 18TH PL S Parcel Number: 122103 9141
Project Description: Install washer /dryer unit (1) laundry washer outlet
wner
Applicant
Contractor
FOREST iCOVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE $TH ST SUITE 200
918 S 301ST ST
1CONSC *961JG (4/7/08)
BELLE`JUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
�tumbing Fixtures .
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Thursday, October 15, 2009
Permit Issued on Tuesday, October 16, 2007
I hereby co that the above information is correct and that the construction on the above described property and
the occuparta y and the use will be in,accordance with the laws, rules and regulations of the State otwasi tlgton a, Se
-Se(yn i A#'fld*6nvv v- rin Cato
Owner or agent: Date* - � Alm On
ACT 162007 OCT 162007
1
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105716 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30801 18TH PL SW Unit A
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) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date 1 (�%.-2 By Date
❑ Final - Plumbing (4075)
Approved
By �7 Date �l ?
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
_j Ak
f "a RECEIVED
J1e77,�,, ,�,� o C T s zone P E R M I T SF ' MF CO ME U DE EN PP
9999SSkAY WAr, WA 98 P"71 „" I CATION
rsaarRAC 1FAY, WA 9a06J -971 � L /
ssuasaao7•><Ax�s�as�'C1TY OF'FED AY ( /
BUILDING DEPT.
The following is required ittformation —an incomplete application will not be accepted. Please print. legibly On ink) or type.
ASSESSOR'S TAX /PARCEL i
LOT SIZE (sn
.LEGAL DESCRIPTION (e g. Acme Estates, Lot 1)
p-A &* --PW.4► Left hvd &-"4
PROJECT
TYPE OF PERMIT O BUILDING ING • 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL O ENGINEERING O FIRZ PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^v +,N.rr ;„ ^A,.tsd on this hermit onlul
LA) 3 Atj;s 1-
t
PROJECT-NAME (Name of Business or Owner Last Name)
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
t
PROJECT
CONTACT
LENDER
EXISTING IJSE
NAME O
Cove- c
�RI PHONE '-
MAILING ADDRESS CITY, 8TA ZIP Q 8,
QQQ A)
E-MAIL ADDRESS
lr'_N_TR4oI' OR
MmIsTNATIon Ifumu= r
LL PHlHE
FA)� N MHU &R�
COMPANY
Per RCW 19.97.096$
Lender infbimation is requ prf{leet value exceeds $5,000 .
APPLICANT NAME
OFFICE PHONE -
MA]L•�n •nnovAa I CITY, STATE, ZIP
CELL PHONE
/rJ
RELATIONSHIP TO PROJECT /
FAX NUMBER
0 Architect O Tenant 13 Agent o Other
( -
NAMB PMMARY PHONE S MAU. ADDR88S
G�
NAME
Per RCW 19.97.096$
Lender infbimation is requ prf{leet value exceeds $5,000 .
MAIUNO ADDRESS
CITY, STATE, ZIP
W/KS
EXISTING ASSESSED /APPRAISED VALUE
SPRIMERED BUILDING? o YES
1fATER SERVICE PROVIDER O
SEWER SERVICE PROVIDER jd
FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? o YES O NO
• HIGHLINE N1QTACOMA O PRIVATE (WLLL)
• HIGHLINE O PRIVATE (SEPTIC)
I AREA DESCRIF170rl I I -EXISTING I PROPOSED I TOTAL
NUMBER OF FLOORS
+'NEWR0JMS ONLY" NUMBER OF BROOM:
ESTIMATED SELLING
Indioate number of each type of fvdCre to be installed or relocated as part of this project. Do not include existing f xtures to remain.
Value of Medianical Work A (COPY OF ED OR ESTIMATE MUST BE INCLUDED W M APPLICATION
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS IaW
COMPRESSORS FURNACES RANGES
DUCTS GAS LOO SETS REMO. SYSTEMS
BATHTUBS prnub /31...r-aob4 LAVS PWW. URINALS T MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKINO FOUNTAINS SHOWERS WATER CLOSETS R.,4
ELECTRIC WATER HEATERS SINKS _ WASHING, MACHINES
HOSE BIBBS SUMPS
I certify under penalty of perjury that I am the property owner or authorised agent of the property ownor. f oarto that to the best of my
knowledge, the Wormatten submitted 1A support of this permit application is true and correct. I owl* that! will comply with all gpplieabra
City of hderal.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 owner's responsibility for compliance with local, state, orJoderal laws regulatory construction or on• vironmental two.
I further agree to hold harmless the City of )*&ral Way as to any claim (including costs, 'expenses, and attorneys' fees incurred in the
investigation and defense of such elabr4, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees; upon -the accuracy of the hV9imation supplied to
the city as a part of this application
SIGNATURE.
o NEW o ADDITION
a ALTERATION..
o REPAIR o TENANT 1WROVEMENT
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 /SU?
o YES.
ONO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #100,: August 16, 2007 Page 2 of 4 , MHandoutsftlnit Application ,