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07-104672City of Federal M Community Development pram Services • Plumbing Permit #• 07- 104672 -00 -P L 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 BLDG 1706 Project Address: 1706 SW 308TH PL , *, Parcel Number: 122103 9142 Project Description: Installation of (4) washing machines`:,' 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 Laundry Washer Outlets ................ 4 Owner Plu1hing Fixtures PERMIT EXPIRES Saturday, August 22, 2009 Permit Issued on Thursday, August 23, 2007 the above information is correct and that the construction on the above described property and THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104672 -00 -PL Owner: FOREST COVE -388 LLC Address: 1706 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) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125) Approved to cover Approved Approved to release test By Date By C Date �— © By Date ❑ Final - Plumbing (4075) Approved By &l�7 Date (p' For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date Federal way PgRM IT AUG 2 3 SF MF CO ME E10 DE EN C4.tiA WrN DEVELOPMENT SERVICES 3332FED AVENUE SOUTH • PO BOX 9718 o f P ,CATION FP FEDERAL WAY, X 980635-260 25.?wtow. 607• Pderalw y.co 9 Qi BUILDING pjip-r, u•urto.cituo(federuhoml.com The folloudng is required information -an incomplete application will not be accepted Please print legibly (in ink) or type. SITE ADDRESS 12 1 "0 1 �, s �f�j �� ij� t % , SUITE /UNIT # � b_L_,d ASSESSOR'S TAX /PARCEL # _ _ _ _ _ - _ _ _ — LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Auach sWa-wpagu for lengthy 1e9d d- crpt —) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING APLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) PROJECT NAME (Name of Busy iness or Owner Last Name) PROPERTY NAME �9PRIMAIqj u PHONE OWNER I) - RELATIONSHIPTO P&IOJECT ❑ Architect ❑ Tenant ❑ Agent ,tether MAILINGADllR SS CITY, STATE 1P e E- MAILADDRESS CONTRACTOR APPLICANT PROJECT CONTACT LENDER COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRE CITY, STATE, ZI PV CELL PHONE. RELATIONSHIPTO P&IOJECT ❑ Architect ❑ Tenant ❑ Agent ,tether FAX NUMBER MAILINGADDREST CITY, STATE. ZM CELL PHONE i- - CITY OF FEDERAL WAY BUST SS LICENSE NUMBER EXPIRATION DATE FAX NUMBE } NT CTOR'S REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS !? 2 z2owl COMPANY NAME: APPLICANT NAME OFFICE PHONE MAILING ADDRE CITY, STATE, ZI PV CELL PHONE. RELATIONSHIPTO P&IOJECT ❑ Architect ❑ Tenant ❑ Agent ,tether FAX NUMBER NAME PRIMARY PHONE E -MAIL ADDRESS A � �} W �/ NAME Per RCW 19.27.095: Lender iFtj'ormation is required if project value exceeds SS,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Y'4dk4 ..1 PROPOSED USE I.7C�e m {- EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $_ SPRINKLERED BUILDING? • ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER 1 ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) _ -- PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SO. FT. PROPOSED 3 . FT. TOTAL 3 . FT. BASEMENT LAVS (Bathroom sinks) URINALS MISC (Describe) FIRST ZONING DESIGNATION SECOND RAINWATER SYST VACUUM BREAKERS o YES o NO THIRD UP /SEPA /SU? o`YES WATER CLOSETS PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) SHOWERS DEMO PERMIT REQUIRED? o YES ❑ NO DECK (❑ COVERED OR O UNCOVERED ?) SINKS (TOileQ WASHING MACHINES �yQ GARAGE ❑ CARPORT ❑ SUMPS NUMBER OF FLOORS i7aSTA0 MOPOS" TOTAL ror4L rASrwo sr T rlu PROMS= sr mru 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 not include existing fixtures to remain. MECHAATCAL - - Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS COOLERS EVAPORATIVE GAS PIPE OUTLETS WOODSTOVF,S BBQS FANS HEATERS GAS WATER MISC(Describe) BOILERS FIREPLACE INSERTS HOODS (C.ommerna) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING o ALTERATION 0 BATHTUBS (or Tub /sbow r LAVS (Bathroom sinks) URINALS MISC (Describe) Combo) ZONING DESIGNATION DISHWASHERS RAINWATER SYST VACUUM BREAKERS o YES o NO UP /SEPA /SU? o`YES WATER CLOSETS PLATTED LOT? DRINKING FOUNTAINS SHOWERS DEMO PERMIT REQUIRED? o YES ❑ NO ELECTRIC WATER HEATERS SINKS (TOileQ WASHING MACHINES �yQ HOSE BIBBS SUMPS I certify 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 certify 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 pe on, ciuding the undersigned, and filed against the city, but only where such claim arises out of the reliance oft ci uding its cers employees, upon the accuracy of the Wormation supplied to the city as apart of this application. SIGNATURE: Owner and /or Authooed Agent TE I-- C7 o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? c YES o NO NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? o`YES o NO PLATTED LOT? o YES ONO DEMO PERMIT REQUIRED? o YES ❑ NO I Bulletin # 100 — August 16, 2007 Page 2 of 4 k\Handouts\Pernut Application