08-104863 •
s Mechanical
City of Federal Way •
Community Development Services Permit #: 08-104863-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: FOREST COVE APARTMENTS UNIT D
Project Address: 30915 17TH AVE SW Apt D Parcel Number: 122103 9006
Project Description: Installing washer/dryer hook-up and vent in each unit.
Owner Applicant Contractor
FOREST COVE-388 LLC #1 CONSTRUCTION #1 CONSTRUCTION
12000 NE 8TH ST SUITE 200 918 S 301ST ST 1CONSC*961JG(4/7/10)
BELLEVUE WA 98005 FEDERAL WAY WA 98003 918 S 301ST ST
FEDERAL WAY WA 98003
a• a+s£i. .. �,e.. �;,,,>r:,. .r,.. a ,�..m.x %. _.... ..tea f.w .
Mechanical Valuation 250 Is this an Online or O.T.C.application? Yes
Ducting 1. Fans 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: "' Date: (b ( r ( o
, • -. lkik
THIS CARD IS TO MAIN ON-SITE
CITY OF it ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104863-00-ME
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.
■
0 Mechanical Rough-in(4165) Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date l ea By Date . ByQ.20 Date .
•
.
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved '
By Date By Date
CIT►OF R E 4D • — / v 4- v &,.._F literal way PERMIT — —
COMMUMTYDEVELOPMENT SERVICES OCT 1 4. 2008 SF MF C ME LPL DE EN FP
3337E D R LWA SWATH'POBOX9718 - I CATI O N TD
FEDERAL WAY,WA 98063-9718 / /
7538357607•PAR 9 9®F FED EFA
The following is required ileh ion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
ll In PROPERTY INFORMATION
SITE ADDRESS_ D vv -in, A\�- SUIT _ b
ASSESSOR'S TAX/PAK1 �M /T rL - LOT SIZE s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING LXMECHANICAL
❑ DEMOLITION "ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onl:d
► a — S I' a .1 • 4 Ct12€
• -
PROJECT NAME(Name of Business or Owner Last Name) Fl7g.-- ► Cii°11 A9 c
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER e e 0 0e C ( ) -
MAILING A'DRESS CITY STA E,ZIP E-MAIL ADD•''-
R A 0. 4 -. Ay, ‘4- 2 6 C ie - t4.)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A , -4r o Ai OA ' 7. 'N.: ) f -3 3 ,
I GAD''ES' CITY,STATE,'IP CELL P ONE
r • 3 c ,.�... . ,O- ; , 4 /_0V' 0 4, ,, •_ - o
C OF':DE' WAY BUSINESS LICENSE NUMBER • • TION DATE FAX % BE
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
O A nor sue .. " 4. , P
f
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS its' STAT7rolsoG P _ CELL PHONE
-
{ RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( )
PROJECT;T NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT At e' ( )
LENDER NAME ° Per RCW 19.27.095:
_ Lender information is required if project vague exceeds$5,000
MAILING ADDRESS ' CITY,STATE,ZIP PHONE
4-'3�U ( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES CI NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
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 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
Z7
NUMBER OF FLOORS L 0en to 1 rmOTO= I TOTAL ram Sns Osr TOTAL PROPosassr TOTALS?
•
**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 Jl •
Value of Mechanical Work$- (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
• BOILERS FIREPLACE INSERTS HOODS(commadq
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shover combo) LAVS pain=shoo URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrolleq •
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 certify y that I will amply with all applicable
City of Pectoral 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 Pederal 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 a part of this application.
SIGNATURE: DATE /e) fit j
d koperty Owner and/. thorized Agent
•
o NEW o ADDITION o ALTERATION o REPAIR o,TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application