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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 .