07-104674City of Federal Way
Community Development Services
P.O. Box 9718
Federai Way, WA 98063 -9718
Ph (2531835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 104674 -00 -ME
Project Name: FOREST COVE BLDG 1714
Inspection Request Line: (253) 835 -3050
Project Address: 1714 SW 308TH PL .� �. R; :. Parcel Number: 122103 9142
Project Description: Installation of (4) fans & (4) ducts (1 each p ralnio
Owner
Applicant
Contractor
FOREST COVE -388 LLC
EVERGREEN CONTRACTING
EVERGREEN CONTRACTING
12000 NE 8T14 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
(�i 10 W Per
` d r, irl�ifd�rrr atio
Mechanical Valuation ................ ............................500 Over the Counter Permit ? ...................................... Yes
IIIIdChaniiC�l iixtues
Ducts............... ............................... 4 Fans................. ............................... 4
so 0 a I Qwft a
ti
THIS CARD IS TO REMAIN ON -SITE
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104674 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 1714 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 Date -- ���® By Date B r Date (0—
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
arrow REcEi tl O 4 - _b2-#-6- i`--14
eerat may 'PERMIT
SF MF CO E LPL DE EN FP
3332 AdF�Piri4 OUM - F0 �XC9718 AUG ,2 3
FEDEM WAY, X 98063-260 CITY A LI CATI 4 N
253835- 2607•FAX253. 835 -2609 ���i
fl°'°rdgy ERAL WAy
The following is rewired information - %A2 omplete application will not be accepted Please print legibly (in ink) or type.
SITE ADDRESS f / �7 L.5-60 �L!d � �( /�C-%� A 5�0 lJ"fTi/ SUITEMNIT # �U
ASSESSOR'S TAX /PARCEL it — _ — — — _ — —, LOT SIZE (sfj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(AaaM spmnnpagefo lwWft 189M descrft&N
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of wor"cluded on
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
tf
NAME
PRIMA 11PHONE
t
MAILING ADDRESS V
L
CITY, STATE, ZI
E-MAIL ADDRE
COMPANY NAME
APPLICANT NAM
� FFICE PHONE ����
MAILING ADDRE 5
CITY, STATE, Z
CELLLL PPPHHjJOJ�N_E
CITY OF FEDERAL WA BUSINESS 1,19ENSE NUM13ER ION DATE
FAX NUMBER
OD R ISTRATION NUMBER r"IRATION DATE
E- MAILADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ,❑ Other
FAX NUMBER
-
NAME
per RCW 19.27.095:
Lender taformatton is required tf project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
/IPHONE
l � -
EXISTING USE Q yDj Ze/C_ PROPOSED USE Annz
� r
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $ �I �h
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO ,
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT OO• AREAS
AREA DESCRIPTION
EXISTING
SO. FT.
PROPOSED
3 . FT.
TOTAL
SO. FIT.
BASEMENT
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
FIRST
GAS WA'T'ER
MIS(.tpesrrihe!
ZONING DESIGNATION
SECOND
HOODS(commcn:01
CHANGE OF USE? = YES
--NO
THIRD
RANGES
UP /SEPA /SU? a YES
!
ADDITIONAL FLOORS (DESCRIBE)
REPRIG. SYSTEMS
DEMO PERMIT REQUIRED? o YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
URINALS
MISC (Drscnl>e)
GARAGE ❑ CARPORT ❑
VACUUM BREAKEI.'S
�-
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL Z11=019 SP
70TAL PROPOSLD sr
TOTAL Sl
* *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.
MECHAATCAL
Value of Mechanical Work $ 1A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
FlBQS
BOILERS
COMPRESSORS l
DUCTS
PLUMBING
BATHTUBS (or Tub /shower
Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER
HEATERS
HOSE BIBBS
'
EVAPORATIVE
GAS PIPE OUTLETS
wooDSTOVES
COOLERS
n
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
FANS � ,,(1%L�
FINATERS
GAS WA'T'ER
MIS(.tpesrrihe!
ZONING DESIGNATION
FIREPLACE INSERTS
HOODS(commcn:01
CHANGE OF USE? = YES
--NO
FURNACES
RANGES
UP /SEPA /SU? a YES
❑ NO
GAS LOG SETS
REPRIG. SYSTEMS
DEMO PERMIT REQUIRED? o YES
o NO
LAVS (Bathwom suks)
URINALS
MISC (Drscnl>e)
RAINWATER SYST
VACUUM BREAKEI.'S
�-
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. 1 certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. 1 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, includly the undersigned, and filed against the city, but only
where such claim arises out of the reliance f the ty nclu ng is ofj?eers and emOl gees, upon the accuracy of the information supplied to
the city as apart of this application. T/ �_._ 4 7/ /
SIGNATURE:
and /or Authorized
TE
r-7:3
,FbR�.OFF.IC�i I��E bNL'iF
o NEW o ADDITION
❑ ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? ; YES
ONO
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
o NO
Bulletin # 100 — August I6, 200? ' Page 2 of 4 K\MantioutS\renun MPPNIu