08-104864 f • Plumbing
City of Federal Way • Permit #• 08 104864 00 P L
Community Development Services �
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: FOREST COVE APARTMENTS UNIT D
Project Address: 30915 17TH AVE SW Apt D Parcel Number: 122103 9006
Project Description: Installing laundry washer hook-up in each unit.
Owner Applicant Contractor
FOREST COVE-388 LLC #1 CONSTRUCTION #1 CONSTRUCTION
12000 NE 8TH ST SUITE 200 918 S 301ST ST ICONSC*961JG(4/7/10)
BELLEVUE WA 98005 FEDERAL WAY WA 98003 918 S 301ST ST
FEDERAL WAY WA 98003
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Laundry Washer Outlets 1
PERMIT EXPIRES Sunday, April 12, 2009
Permit Issued on Tuesday, October 14, 2008
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: rte'`--CJ Date: / / Ui g
THIS CARD IS TO REMAIN ON-SITE
CITY OF ikommunity Developmfit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104864-00-PL
Owner: FOREST COVE-388 LLC
Address: 30915 17TH AVE SW Apt D
FEDERAL WAY, WA 98023
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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Q to., Date\a-� _ By Date
— ❑ Final-Plumbing(4075)
Approved
By 0 Date IQ_
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
.A.Federal Way � _ ft. _ / o + gr& t
ERMIT
CIOMMUMTY DEVELOPMENT SERVICES 971D CT 4 2I� SF MF CO ME E 7 EN FP
r /33325 8m AVENUE SOUTH•PO BOX 971
FEDERAL WAY,WA 98063-9718 p p L I C AT I O N
253-895?607•P 1 /
br- FEDERAL wAA
The following is required tion-an incamplete application will not be accepted. Please print legibly(in ink)or type.
L ■ PROPERTY INFORMATION W,/SITE ADDRESS j b !C' � r) i'7 A-UE S I/v S�:• i�
ASSESSOR'S TAXI :EL - LOT SIZE s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Utile,'seParatt PefrknerhY.CPIa..orPauon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 113 PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on/his Dermit onlu)
•
PROJECT NAME(Name of Business or Owner Last Name) r°1 el ( 4. 1!/ /I /' f
• PEOPLE INFORMATION
PROPERTY N - PRIMARY PHONE
OWNER o7'C C T Co ( - C ( ) -
LINO ADDRESS STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPAIY NAME~'(� }jn� / A(PPPLICANT NAAMr/E� 4 OFFICE
/'yPHONE /�,
DDRESS N ���L .(), / o f 4 cil STN,7JP r�43 / C4PHON 3 •)-2 79 /
�/, S. 30, s+ SSG' red air tu.I i'ee�(20 ) `?.S.7s 303.2 ,
C OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRANION DATE FAX NUMBER
( )
CO CTOR'8 REGISTRATION NUMBER c� EXPIRATION DATE E-MAIL ADDRESS
4- CCjNfSc_- to/ U � CF( /of
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS c'Ll " I CITY,STATE,ZIP CELL PHONE
E
RELATIONSHIP TO PROJECT G 4- Q U FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
j CONTACT /�4 ( T ( )
LENDER NAME /c v` l~ Per RCW 19.27.095:
A5 13(j 0E7-Lender information is required vproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
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)
M
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS W"'°O I raorosso I TOT" TOTAL=ISMS ST TOTAL PROPOSED.r TOTAL SP
"!NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BINS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(cosusertho
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or Tub/Shower combo) LAVS(asthma Slaps) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(foaoq
ELECTRIC WATER HEATERS SINKS _ WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certifk 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 dofense of such claim), which may be made by any person, including the undersigned, and flied 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 a part of this application.
SIGNATURE: J ' l /� A� DATE 6O
�y rand or Autho ' ent
.z^`f
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application