07-105740y �
City of Development ntS Plumbing Permit #: 07- 105740 -00 -PL
Corrlrilunity 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: 30917 20TH AVE 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 (4/7/08)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Plurrlbingi�ttaarea'
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the it of Federal Way.
See A fl�lion 1�
Owner or agent: Date: See App1�-ron
,OCT 192007 ,OCT 192007
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105740 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit B
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) 0 Rough Plumbing (4230) 0 Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date B Date to By Date
Final - Plumbing (4075)
Approved
By Date ll 2
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
an RECEIVED 0-7 0 fz
FaderaM by . SF MF CO ME E1, PJ, DE EN PP
c258ftn$WffVr,�-POB BOX 1 6 2Q,pl
999 ?59�AV¢NUr,WA I•PO971 7 PPLICATION
FEDERALWAY, X 99069A71Q
uWtaftmadatmM�*y FAX ?59-095 OF FEDERAL WAY
OUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print•legibly (in ink,) or type.
BITE ADDRESS _ `J O `! DC� �i T/ (/LY LV SUITE /UNfr # - -_�
ASSESSOR'S TAX /PARCEL * - < ® C? y� LOT SIZE (s)7
122-1 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
N� +�•rro•1b►Mw�Y�d -mil
O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description ^r.. „ *r 64-ded on this Permit onlu)
l�J d r A V /
•.e
PROJECT- NAME (Name of sine s or Owner Last Name)
PROPERTY'
OWNER
CONTRACTOR
� o�
APPLICANT
PROJECT
CONTACT
LENDER i
E ATING USE
NAME O r i
Cove- G
PRIMA RY PHONE
MAILINO ADDRESS CITY, ST A ZIP
E-MAIL ADDRESS
COMPANY NA r
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
Q ^'w1'►
-
MAIN"* •nnDIMA
CITY, STATE, ZIP
CELL PHONE
f7
REIATIONSHIP TO PROJECT /
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
NAME PRIMARY PHONE &MAIL ADDRESS
G'1
NAME
Per RCW 19.97.096:
Lender igformaHon is requ Project value exceeds $5,000 .
MAIUNO ADDRESS •
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES -Zrf?O FIRE
PROPOSED USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER _,, L HAVEN ❑ HIGHLINE TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE ❑ ATE (SEPTIC)
.EXISTING
BASEMENT
t
- -FIRST---
SECOND
DECK (❑ COVERED OR ❑
GARAGE •❑ CARPORT ❑
PROPOSED
TOTAL
NUMBER OF FLOORS i° u "T"2earaesssr rortcss
' "NEW HOMES ONLY**.. NUMBER OF B ROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS OAS WATER HEATERS T_ MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commuclo
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS • REFRIG. SYSTEMS
BATHTUBS jor7LD /showrco." LAVS pa.. skJ4 URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Rs.O
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 owner. I certVy that to the best of my
knowledge, the information submitted in support of this permit application is true and correaL I certo that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 7 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 snvlrorunerital laws.
I further agree to hold harmless the City gf Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in Ow
investigation and defense of such etalv4 which may be made by any person, including the. and filed against the city, but only
where such claim arises out of the reliance gf the city, including its officers and employees, upon-the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: - -- - �1 _ _ �f / t DATE I o I 1 C)'11
o NEW o ADDITION
n ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
0 YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 - August 16, 2007 Page 2 of 4 . MHandoutsWermit Application . '