07-106328t
r
City of Federal Way Mechanical Permit #• 07- 106328 -00 -M E
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 APTS UNIT A -B -C -D
Project Address: 30923 17TH AVE SW ;� Parcel Number: 122103 9006
Project Description: Installation of 1 vent fan per unit
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
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
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 City of Federal Way.
Owner or agent: Date: //,IN
THIS CARD IS TO REMAIN ON -SITS'
CITY OF Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106328 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30923 17TH AVE SW
FEDERAL WAY, WA 98623
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 t y _ By Date By ate /Z LI�12f
For inspector reference only _ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cnFaftral Way tc9 s»s a REc� °`�R RM IT
SF' MF CO E EL PL DE EN PP
Are. l
WAY, WA NoAPPEI CATI O N
F fpe�Ai L VYAY.
The following is required inpAj* fA?; Oiete application will not be accepted Please print.ieg ft (in ink) or type.
p PROPERTY • •
SITE ADDRESS / 7 ,��[ ��' c' SUITE /Um • .0
ASSESSOR'S TAR /PARCEL i _ _ _ T _ _ _ _ _ LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT • •
TYPE OF PERMIT 0 BUILDING O PLUMBING "33AHICAL
O DEMOLITION O ELECTRICAL' 0 ENGINEERING O ,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only►
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
NAME /
/CIS C.�
PRIMARY PHONE
( ' ) _
OFFICE PHONE
MAILING ADDRESS'
CITY, STATE, ZIP
/ O�
E-MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
et— C r
a
''/
( -
MAILING ADDRESS
RELATIONSHIP TO PROJECT
CITY, STATE, ZI �G
PHO S
r
•�
UnYOF FEDERAL WAY BUSINESS LICENSE NUMBER ON DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NU
Z"IRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS,
'a
CITY, STATE, ZIP
CELL PHONE
PHONE
_
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O Tenant O Agent O Other
NAME PRIMARY PHONE E-MAIL ADDRESS
ME
Par RCW 19.27.096:
Lander information is required if project value exceeds $5,000 .
MAILINO ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEIIA`jEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR
AREA DESCRIPTION
•EXISTING PROPOSED
S : FT. SQ. M.
TOTAL
S . FT.
BASEMENT
BUILDING SHELL ONLY?
o YEW. o NO
FIRST
a YES
o NO
ZONING DESIGNATION
SECOND
CHANQE OF USE?
o YES
THIRD .
NEW ADDRESS REQUIRED?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES.
o NO
PLATTED LOT?
DECK (0 COVERED OR 0 UNCOVERED?)
DEMO PERMIT REQUIRED?
o YES
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
surrao
rsorouo
TOTA,
TWA&Psaeoes .r
rorau
"NEW HOMAS ONLY" . NUMBER OF BEDROOMS _�T ESTIMATED SELLING PRICE $
Indicate number of each type of f xtwe to be installed or relocated as part of this project. Do not include existing fudures to remain.
Value of Med wnical Work $ l am' —� (A COPY OF BID OR ESMMTE MUST BE INCLUDED Wl'TH APPLICr4270NJ
AIR HANDLING UNITS EVAPORATPVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS OAS WATER HEATERS T_ MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (c....i•q
COMPRESSORS FURNACES RANGES
DUCTS OAS LOG SETS • REFRIO. SYSTEMS
BATHTUBS 1wTuk 1eko•nrconb4 LAVS M ft- mslnk4 URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Towq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cart(& under penalty W perjury that I an the property owner or authorised agent of the property owner. I corft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I ew tW that I will comply with all applicable
City of Federal.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 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 dsfense of such claim), which may be made by any person, including the undersigned, and flied against the city, but only
ffi
where such -claim arises out 4f the reliance of the city, including Its oeers and employees, upon-the accuracy of the information supplied to
the city as apart of this application. _
SIGNATURE:
C•�>t
i
o NEW o ADDITION.
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YEW. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANQE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SIT?
o YES.
o NO
PLATTED LOT?
o YES alto
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #100—August 16, 2007 Page 2 of 4 , 1( HandoutsTermit Application . i •