07-106331s
City 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- 106331 -00-1 8
Project Name: FOREST COVE APTS UNIT A -B -C -D
Project Address: 30937 17TH AVE SW
Project Description: Installation of 1 vent fan per unit
Inspection Request Line: (253) 835 -3050
_Tarcel Number: 122103 9006
L
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
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: Date:
THIS CARD IS TO REMAIN ON -SITE r -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106331 -00 -ME
Owner: FOREST COVE -388 LLC
Address: 30937 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 Hate By ate /
` cmra•'A
FedarafW. ay .
ODNJdUMY DSVEWPIBNT SBRVICSB
99995 SIR AVSNUB SOUM • PO BOX 9718
PEMU WAY, WA 9SW3.9718
2S8195d607- FAX 253195.2669
PERMIT
APPLICATION
QL - � �_53_L'
SF MF CO E LPL DE EN PP
The following is required ir{j'ormation -an incomplete application will not be accepted. Please print.legibly (in inlcl or type.
q PROPERTY • •
SITE ADDRESS _ / s'i �7 % / �1 SUITE /U= f
ASSESSOR'S TAX /PARCEL it . — — T — — - — _ — LOT SIZE (31)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(��vQw1�wWY�e�lv�► .
PROJECT • •
TYPE OF PERMIT O BUILDING O PLUMBING -;MECHANICAL
O DEMOLITION O ELECTRICAL ❑0 ENGINEERING O.FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on M Permit onlvl
PROJECT. NAME (Name ofLks_Lless or Owner Last Namel
PROPERTY'
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
A
NAME
PRIMARY PHONE
/J
MAIUNO ADDRESS
'Q
MAIUNO ADD
CITY, STATE, ZIP
E-MAIL ADDRESS
G
-
FAX NUMBER
-
COMPANY NAME
APPUCANT NAME
APPLICANT NAME
MAIUNO ADDRESS
'Q
OFFICE PHONE
C�
6
G
-
FAX NUMBER
-
MAILIN ADDRESS
CITY, STATE, ZIP
OF FEDERAL WAY BUSINESS UC& SE NUMBER .
ON DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NO B
Z"
C'arvS� -�(-
TION DATE
&MAIL ADDRESS
a
COMPANY NAME
APPUCANT NAME
OFFICE PHONE
MAIUNO ADDRESS
'Q
CITY, STATE, ZIP
CELL PHONE
PHONE
G
-
FAX NUMBER
RELATIONSHIP TO PROJECT'
o Architect ❑ Tenant o Agent o Other
NAME PRIMARY PHONE E-MAIL ADDRESS
E
Per RCW 19.27.095:
Lender information is required if project value axes sdt aj6,000 .
MAIUNOADDAUM
CITY, STATE, ZIP
PHONE
G
-.
EXIOTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKKLERED BUILDING? O YES D NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES a NO
WATER SERVICE PROVIDER o LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE o PRIVATE ISEPTICI
PROJECT FLOOR
AREA DESCRIPTION
•EBISTING PROPOSED TOTAL
S . FT. SO. FT. 80. FT.
BASEMENT
BUILDING SHELL ONLY?
o YES'. o NO
FIRST
BASIC PLAN?
o YES
o NO
SECOND
CHAN.GE OF USE?
THIRD .
ONO
NEW ADDRESS REQUIRED?
a YES o NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
a YES.
a NO
DECK (0 COVERED OR O UNCOVERED ?)
0 TES o NO
DEMO PERMIT REQUIRED?
GARAGE -O CARPORT 0
a NO.
NUMBER OF FLOORS
sASrao
rsorqus
rorar,
rormsssrraasr
roru.rsoreesrsr
ror�esr
"NEW HOMES ONLY" NUMBER OF BEDROOMS �T ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of tide project. Do not iruIude existingftxtures to remaim
Value �of mechanical Work $. M COPY OFBM ORES WTE MUST BE INCLUDED WITHAPPLlCAT10NJ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (wT blmwwr'c.mb4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
PANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS -
LAVS pwh.o.m sbuq
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS Icmmrdp
RANGES
REMO. SYSTEMS'
URINALS
VACUUM BREAKERS
WATER CLOSETS (rsq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eertifo under penalty of perjury that I am the property owner or authorised agent of the property owner. I certV0 that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I eortj& that 1 will comply with all applicable
City of Federal ,Way regulations pertaining to the work authorised by the issuance qj a permit. I understand that the • issuance of this permit
does not remove the owner's responsibift 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, irApenses, and attorneys' Jess 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 offleers and employees, upon -the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
Owner
�L�
a NEW o ADDITION.
o ALTERATION
a REPAIR o TENANT DVROVEMENT
BUILDING SHELL ONLY?
o YES'. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHAN.GE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU?
a YES.
a NO
PLATTED LOT?
0 TES o NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin 0 100 - August 16, 2007 Page 2 of 4 , k\Handouts\Pennit Application .