07-106324City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 106324 -00 -VIE
Project Name: FOREST COVE APTS UNIT A -B -C -D
Project Address: 30927 17TH AVE SW
Project Description: Installation of 1 vent fan per unit
Inspection Request Line: (253) 835 -3050
Parcel Number: 122103 9006
Owner
Applicant
Contractor
FOREST COVE -388 LLC
#1 CONSTRUCTION
#1 CONSTRUCTION
12000 NE 8TH ST SUITE 200
918 S 301ST ST
1CONSC *961JG (417108)
BELLEVUE WA 98005
FEDERAL WAY WA 98003
918 S 301ST ST
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation ................. ...........................1500 Over the Counter Permit ?.......... ............................ Yes
Mechanical Fixtures
Fans. .............................. 4
PERMIT EXPIRES Friday, November 27, 2009
Permit Issued on Tuesday, November 27, 2007
1 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 City of Federal Way.
Owner or agent: t Date: f/ G
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106324 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30927 17TH AVE SW
FEDERAL WAY, WA 98023 -4389
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 1, By Date By Date A P
For rector reference on1Y_.
Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
,&. 0 Z _ o
*a VED
.ODIIIIUNItYDBV6LOP1B117 seriv 'E'C E' • PERMIT SF - MF CO E L PL DE EN PP
33325 AM APSNUB SO= • PO BOX 9718
AMMM 6v:'FA Z 2616 21 20 PPLI CATI O N
ERAL WE1Y '
The joilowing bCdi incomplete application will not be accepted Please print.legibly (in "or type.
SITE ADDRESS _ O d % 0 Z ����= tiS ^(; J SUITE /UNIT' i
ASSESSOR'S TAX /PARCEL 9 — — — _ — — _ — LOT SIZE (31)
LEGAL DESCRIPTION (e g. Acme Estates, Lot 1)
(A��•Pae•M�►W�el
PROJECT INIFOMIATION
TYPE OF PERMIT p BUILDING O PLUMBING KMECHANICAL
❑ DEMOLITION O ELECTRICAL O ENGINEERING O ,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on Lilis permit onlyl
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
N PEOPLE INI'OmATION
NAME
PRIMARY PHONE
MAIUNO ADD
CITY, STATE, ZIP
E-MAIL ADDRESS
4e nA ri 1219 -F1
( -
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
C %,
CELL PHONE
( -
MAILiN ADDRESS
RELATIONSHIP TO rKoizUr
CITY, BTATE, ZIP
CELL PHO S
CITY F BRA WAY H $1NB93 LCE SS N M DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NC H
/ EXP TION DATE
&MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAIUNO ADDRESS
CITY, STATE, ZIP
CELL PHONE
PHONE
RELATIONSHIP TO rKoizUr
FAX NUMBER
❑ Architect ❑ Tenant o Agent ❑ Other
NAME PRIMARY PHONE &MAp, ADDRESS
NAME
PerRCW 19.97.095:
Lender information is required i f project value exceeds $5,000 .
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
EXIPTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIOHLINE ❑ TACOMA ❑ PRIVATE (Wt•;LL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
nnn irl.4. rr nn AQ
AREA DESCRIPTION .EXISTING PROPOSED
y S . FT. 8
TOTAL
S . FT.
BASEMENT
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
FIRST
SINKS
HOSE BIBBS
SUMPS
SECOND
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SV?
o YES-
ONO
DECK (0 COVERED OR O UNCOVERED
o YES o NO
DEMO PERMIT REQUIRED?
GARAGE O CARPORT 11
o NO.
NUMBER OF FLOORS
snnao
rsorass
Tors► ,
rorncsrrrra+eu
rorarsarcesssr
rorstu
"NSW HOMES ONLY- . NUMBER OF BEDROOMS _�T ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fudures to remain.
�aQra.O�ytua,raa.
Value of Mechanical Work $_ ��d7 (A COPY OF BID OR E8771 TB MUST BS XCLIID,ED WITH APPLICA77019
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS LOG SETS -
BATHTUBS (or Tub /shre.rC.mb4
LAVS (s.th.eom WnM
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (C-mma 1q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS irsq
WASHING MACHINES
WOODSTOVE3
MISC (Describe)
MISC (Describe)
I certW under penalty of perjury that 1 am the properly owner or authorised agent of the property owner. I eertUk that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certW that I will comply with an applicable
City of Fedwal.Way regulations pertaining to the work authorised by the issuance of a permit. ! 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.
!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), 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 officers and employees, upon -the accuracy of the information supplied to
the city as apart of this application.
G
SIGNATURE:
o NEW o ADDITION.
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES_ ONO
BASIC PLAN?
0 YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SV?
o YES-
ONO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 " August 16, 2007 Page 2 of 4 , k\Handouts\Pennit Application .