07-104671ry' mmu Federal pmerA y Mechanical Permit #: 07- 104671 -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Pty. (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3060
Project Name: FOREST COVE BLDG 1706
Project Address: 1706 SW 308TH PL Parcel Number: 122103 9142
Project Description: Installation of (4) fans & (4) ducts (1 each per unrij
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
Mechanical Valuation ................ ............................500 Over the Counter Permit? ...................................... Yes
Owner or agent:
I� /%INFAMM 1��11IIIIIIII
.�oT.IU&,��
CS
THIS CARD IS TO REMAIN ON-SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104671 -00 -ME
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.
Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By y Date _ By Date By Date l0 - -t 2
For inspector reference only
Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
• rrrr aF V-
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ilex l Way PERMIT
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33325 8m AYL WAY, OA7 8 637971 9718 All 2 2 � LI C ATI O N °
FEDERAL WAY, FAX 98063-9718
253. 835 -2607• FAX 253 -835 -2609
C)TY8 � 9DE AL WAY
The following is reVred i orm(Uo2- 9 4ricomplete application will not be accepted Please print legibly (in inkj or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
3 SUITE /UNIT #
LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1 )
(Aaach separ pags for IwWfhg Iega, cf—V ftV
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work,4cluded on
PROJECT NAME (Name of Business or Owner Last Name)
V
PROPERTY
OWNER
APPLICANT
PROJECT
CONTACT
LENDER
A ME
APPLICANT NAM
OFFICE PHONE
OFFICE PHO��
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ,❑ Other
FAX NUMBER
( -
MAILING ADDRE S
AMASS
CITY, STATE, Z
CELL PPHHHOJN_E
ITY O FEDERAL WA N
TION DATE
CONTRACTOW81MG18TRATION NUMBER
1 wupnUTION DATE
t&MAILADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ,❑ Other
FAX NUMBER
( -
NAME PRIMARY PHONE E- MAILADDRESS
NAME
Per RCW 19.27.095:
Lender tnformation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
(PHONE
1 � -
EXISTING USE '/°^ jP�j ZyC PROPOSED USE .117A. Anmz
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $,Z
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) Y
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••• AREAS
• AREA DESCRIPTION
EXISTING
3 . FT.
PROPOSED
SO. FT.
TOTAL
3 . FT.
BASf1fV1E9f
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES r_i NO
FIRST
BASIC PLAN? - YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE? ^_ YES
: NO
THIRD
UP /SEPA /SU? a YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? o, YES
c NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EE79TIN0 SJ
ED
TOTAL PROPOS SJ
TOTAL Sr
"NEW HOMES ONLY " NUMBER OF BEDROOMS __. 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.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS ' Uag
PLEOWING +�
BATHTUBS (orTUb /Show,,
Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER
HEATERS
HnSR RIRRS
I EVAPORATIVE GAS PIPE OU'T'LETS WOODSTOVES
COOLERS
FANS GAS WATER MISCMc.sc•ribeT
�� HI• ;INTERS
FIREPLAh INSERTS HOODS(commcrciaq
FURNACES RANGES
GAS LOG SETS _ REFRIG. SYSTEMS
LAVS (BathroomSiuks) URINALS MIST: (Describe)
_ RAINWATER SYST VACUUM BREAKERS
WATER CLOSETS
SHOWERS
SINKS WASHING MACHINES
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), wh ay be by any person, _Including the undersigned, and filed against the city, but only
where such claim arises out of the reliance d ! f the ty nclu rig is officers d e oyees, upon the accuracy of the irformation supplied to
the city as apart of this application. ,r
SIGNATURE:
r and /or Authorized
DATE
F`bR• OF$I1C�'i �9E bIII.7lr
o NEW o ADDITION
❑ ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES r_i NO
BASIC PLAN? - YES
o NO
ZONING DESIGNATION
CHANGE OF USE? ^_ YES
: NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU? a YES
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o, YES
c NO
Bulletin #1100 — August 16, 2007 Page 2 of 4 k\hancloutS\Fentnt Appucauon