07-105742✓ r
City of Federal
lopmentS Plumbing Permit #• 07- 105742 -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 APARTMENTS
Project Address: 30917 20TH AVE SV. 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
Pli1t111iit+g F IXt[Ir-
Laundry Washer Outlets ................ 1
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Friday, October 19, 2007
1 hereby'certlfy that the above information is correct and that the construction on the above d scribed property and
the occupancy and the use will be in accordance with the laws, rules and regulations of th
and City f,Federal Way. OtatiDn
Owner or agent: Selo �p � 0 Data-
OCT 1 k007
'e
T-RIS -CARD IS TO REMAIN ON -SITE
CITY OR Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105742 -00 -PL
Owner: FOREST COVE -388 LLC
Address: 30917 20TH AVE SW Unit C .
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 B Dateh �Z, G By Date
❑ Final - Plumbing (4075)
Approved
B Date (r • 2��
For inspector reference only___
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
My a A 0 7_ / . O � � �Z
r -a &►ai y RECEIVED PERMIT — -- -- — -- — — —
comw xfflay lwrwaffnwim SF • MF CO ME Ek PL DE EN PP
WAr,W ' 6.2ooTAPPLICATYON
f3QBRAL WAY. WA 534M. 711' r
95ZJ,1S7607�fA?C?59•eJS26d9
Thi oliowtn ' g�OF FETE
j g an incomplete application will not be accepted: please print. kgibly On" or type.
SITE ADDRESS _ 7 U / / . I � " 9f�'[N� U LAC J sUITE /DItI'!' #
ASSESSOR'S TAX /PARCEL 9 Q�i . — C/ t LOT SIZE (sn
.LEQAI. DESCRIPTION (e.g. Ame Estates, Lot 1)
p�rw•e•Lwar+w•l•�w►� '
TYPE OF PERMIT D BUILDINQ UMBINQ • D MECHANICAL
D DEMOLMO D ELECTRICAL D ENGINEERING D FIRB PREVENTION BYBTEM
PROJECT DESCRIPTION (Provide detailed description ^f.,an►I- in ^hjded on this hermit onlvl
(.l) d Ab .1 Dtr1Aer5,
PROJECT•NAME (Name of Business or Owner Last Ntun
CONTRACTOR COMPANY NAME APPLGNT NAME OFFICE PHONE
A z
APPLICANT
I
PROJECT
CONTACT
LENDER
W313TING USE
I
RZ015TRATIOR nUiWi Sit
APPLIO
CITY. 87
FAX ! MHER
E-NNL ADDRESS
OFFICE PHONE
CELL PHONE
i I -
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect D Tenant 0 Agent 0 Other
NAME PRIMARY PHONE E -MAIL ADDRESS
U1' -
E -
'
Per RCW 19.97.0961
Lander information it requ prq/.et value exceeds $5,000
MAILINO ADDRESS
CITY, STATE, ZIP
FHONE
EXIstmo A$swsED /APPRAISED VALUE $
SPRIMERED BUILDING? 0 YES X10 FIRE SUPP
WATER SERVICE PROVIDER t] HAVEN O HIGHLINE
SEWER SERVICE PROVIDER AKEHAVEN 03 HIG INE
PROPOSED USE
VALUE OF PROPOSED WORK $
)N SYSTEM PROPOSED /REQUIRED? D YES 0 NO
TACOMA 0 PRIVATE ("LL)
0 PRIVATE (SEPTIC)
EXISTING
PROPOSED I TOTAL
NUMBER OF FLOORSa0 +oiµ rorv: sr ronu rsawwu roraou
"NSW HOMES ONLY".. NUMBER OF BXbROO46 ESTIMATED SELLING PRICE $-
Indicate number of each type of feature to be installed or relocated as part of this projeii Do not include existing failures to remain.
Value of Medtanical Work V (A C= OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC,A770NJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
OAS WATER HEATERS
M13C (Describe)
BOILERS
FIREPLACE INSERTS
HOODS icw..�deA
COMPRESSORS
FURNACES
RANGES
a NO
DUCTS
OAS LOO SETS •
REMO. SYSTEMS
UP /SEPA /SU?
3
ONO
PLATTED LOT?
o YES o NO
BATHTUBS WTub /sh~ -ce=b4
LAVS is.m,.we sw4
URINALS _r_
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKINO FOUNTAINS
SHOWERS
�— WATER CLASETS ps.q
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. ! certj& that to the best of nay
knowledge, the information submitted ik support of this permit application is true and correct. I eert* that? will comply with all appliepble
City of Aderal,Way regulations pertaining to the work authorised by the issuance of a permit. `I understand that the issuance of this permit
does not remove the owner's responetbilityfor compliance with local, state, orfederal laws regulating construction or en• vironmental k w&
I further agree to hold harmless the City of TedwW Way as to any claim !including costs, •expenses, and attorneys' fees incurred in the
investigation and defense of such clafW, 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 o0cers and employees; upon -the accuracy of the in formation supplied to
the city as a part of this application
SIGNATURE:
MEN0110
o NEW a ADDITION
a. ALTERATION,
o REPAIR a TENANT IMPROVEMENT
BUILDING BHEM ONLY?
d YES. o NO
BASIC PLAN?
a YES
o NO
ZONWG DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES , a NO
UP /SEPA /SU?
a YES.
ONO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUDZED?
a YES
ONO
Bulletin #1 00 r August 16,20Q7 Page 2 of 4 . MHandoutsTennit Application .