07-105736City of Federal Way
Community Development Services Plumbing Permit #: 07- 105736 -00 -PL
I� n
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835.2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
r
Project Name: FOREST COVE APART TS
Project Address: 30801 18TH PL SW Parcel Number: 122103 9141
Project Description: Install washer /dryer unit (1) laundry washer outlet
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
Pit,ft"rtt?[it�}��tJtittT @a
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
I hereby duty that the above information is correct and that the construction on the above described property and
the occupaApy and the use will beQacord rules and regulations of the ;WC+o
Owner or agent: Date:
PCT 192007
Y THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105736 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30801 18TH PL SW Unit D
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 Z� �Q By Date
❑ Final - Plumbing (4075)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
a RECEIVED 0 � _ /.0 -6"-7 6 .
ralw,ay . p7ERMIT -- -- - - --
COAGIUMl7D&YELOPA W8WX" OCT 1 6-2 SF MF CO ME EL.DL DE EN,- PP
1"26ONAP¢NUS SOM • Po BOX 9710
PiABRALWAY,WA 9."20 �,�?Z CATION
. 4sswsz�o7•PAx2ss,�s -ssa9 CITY-OF
Tederahmamm
BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print,kgibiy (in" or type.
ASSESSOR'S TAX /PARCEL i J— S2— .3 -
LOT SIZE (s,)
.LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
p�•�,�wM�Ir��+rwN •
PROJECT • •
TYPE OF PERMIT O BUILDING ING. O MECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERINO O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description .. fed on this permit oniul
PROJECT-NAME (Name ofLWkgss or Owner Last Namel
PROPERTY'
OWNER .
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING 118E
NAME
F
Ve G
PRI RY PHONE
( -
MAIUMO ADDRESS CITY, 87A ZIP
E-MAIL ADDRESS
MAI N ADDF
wry F room
- - _ -- CnY, STATE. ZIP
L WAY BU8INE83 LICEn4..,. -gib EXPIRATIO
RZOINTRAT1011 1'1UdaXit r EXP
C l.L PH Ni
ac - ti
FAX NUMBZR
D- MAILADDRZW
COMPANY Nr
APPLICANT NAME
OFFICE PHONE -
MAIL—n • nnQRtta CITY. STATE, ZIP
• CELL PHONE
RELAITONSHIP TO PROJECT /
FAX NUMBER
0 Architect a Tenaat a Agent a Other
( ) " - •
I NAME PRIM/► PHONE a.M"ADDRE88
G�i
E -
Per RCW 19.97.096,
Lander infaimation is roqu prgect value exceeds $5,000. '
MAIUNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUMDING? D YES
WATER SERVICE PROVIDER O
SEWER SERVICE PROVIDER .!
FIRE
O HIGHLINE
0 HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
)N SYSTEM PROPOSED /REQunt. EDP O YES O NO
N TACOMA o PRIVATE (WELL)
ATE SEPTIC
0
•EXISTING
BASEMENT
- - -- RST-
SECOND
IDECK (0 COVERED OR O UNCOVERED ?)
GARAGE •0 CARPORT 0
TOTAL
NUMBER OF FLOORS O MAL roru u roru.racrerssu Tor r,u
" "NEW ROOFS ONLY".. NUMBER OF B ROOMS ESTIMATED SELLIN(lt PRICE $- '
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Medunical Work
0 (M OF BID OR ESTA(ATE MUST BE INCLUDED WITTHAPPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
HHQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS ic....�.q
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS •
REMO. SYSTEMS
BATHTUBS (xT.D /sh.m.c..a.) LAVS P d..st.,wl URINALS �� MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS irn.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I Bert{fy under penalty of perjury that I am the property owner or authorised agent of the property ourn °r. I cwtVy that to the best of my
knowledge, the iNte oration submitted in support of this permit application is true and eorreaL I onto that! will comply with all applicable
City of federal ,Way regulations pertaining to the work authorised by the issuance of a permit. It understand that the issuance of this permit
does not remove the owner's responsibility for compliance with Iota& state, or federal laws regulating construction or ernoironmental lows•
I further agree to hold harmless the City of federal Way as to any claim (Including cods, •expenses, and attorneys' fees incurred in the
investigation and defense of such claimh which may be made by any person, including the undersigned, and flied 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 information supplied to
the city as a past of this application.
/'. . 7
SIGNATURE:
MAWM E
wave
o NEW o ADDITION
aALTERATION..
a REPAIR
a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
RABIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANOB OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
a YES.
ONO '
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
C
Bulletin #I 00 ,. August 16, 2007 Page 2 of 4 , MHandoutsTelmit Application .