08-100837 `City of Federal Way • Plumbing Permit # 8-100837-00-PL
Community Development Services a—
P.O.Box 9718
, 98063-9718
Ph:(253)835-2607FederalWayWA Fax:(253)835-2609 Inspection Request ;I (253) 835-3050
Project Name: FOREST COVE APARTMENTS UNITS A C D
Project Address: 30934 17TH AVE SW P.- ,-1 ,ber 22103 9006
Project Description: Installing laundry washer hook-up in each unit.
Owner Applicant Cont
FOREST COVE-388 LLC #1 CONSTRUON #1 P . STR TION
1703 SW 309TH ST 918 S 301ST 1CO ,C*'.1JG(4/7/08)
FEDERAL WAY WA 98023-4389 FEDERAL WAY WA 9 03 � 91:L WAY W01ST ST
ERAA 98003
, 4sf!siti
ium Fix
Laundry Washer Outlets
\ PE' T EXP S Friday, February 19, 2010
ermi ued on Wednesday, February 20, 2008
I h by c that the above ormation is correct and that the construction on the above described property and
the ncy and the use will be in accordance with the laws, rules and regulations of the State of Washington
ft
and the City of Federal Way. �r if1 .; fin
Owner or nt: Date:
FEB 2 0 2008
THIS CARD IS TMAIN ON-SITE ^
CITY OF F--
-°� �''`-� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100837-00-PL
Owner: FOREST COVE-388 LLC
Address: 30934 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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing (4230) '0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Q wi,„„,_, Date ) 2.A. _c By Date
— ❑ Final-Plumbing(4075)
Approved
By C--v Date 3-t$-c%
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
III RECEIV
ctnorw I-E n >C i
+ aral way B 19 204 _L ID — —
PERMIT SF MF CO ME EL �e PE EN FP
• ooMtri!!�lTYDBv$LOPAfBNTSERVICES Cj�'y
33325 dM AVENUE SOUTH•PO BOX 9718 OF FEDER WAY
FEDERAL WAP,FAX
98063-9718
APPLICATION cD�. / /`\��.
253-835-2607*FAX 253835 7609 r
wmu.dt uofederahua u,corq
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
• - PROPERTY INFORI\IATION
SITE ADDRESS_ y -' . ! /' / /)-/-/1 A.i e f
SUITE/UNIT#_
7 / ' ( >'cc- r'-
ASSESSOR'S TAX/PARCEL# . r � LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepamte page Jor lengthy legal desaii l
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT.NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER .„.*---.4_6----(7--- ( (//(z G.L. Cy ( ' )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
/.,ZED c. //� /?lid/ ...57' c. 1r ��zz /� ''Oc,
CONTRACTOR COMPANY NAME . APPLICANT NAME OFFICE PHONE
/ c- s J7C77io/c/ ,44-(V-,J-/ G� I-Z )..a6 A'? - 32
MAILI 0 ADDRESS CITY,STATE,ZIP �,, CELL PHONE
/,� _c �c/ s,~s/ , ,4c 1 ' 7 2 (Q, ')c 3 --3'--s)t�
CI OF FEDERAL WAY USINESS LICENSE NUMBER EXPI TION ATE FAX—NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
tfr 7 carts C. --4( )72 (7 ate/ >g
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
J`,Gl�f ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
v 4/ .6 "- ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT _5 l5 - S` ( ) -
LENDER NAME Per RCW 19.9.7.095:
j�,,,, (f C Lender information is required if project 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? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
"` PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING
PROPOSED TOTAL
BASEMENT SQ. FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS I 17Q'iDfa I mom= j TOTAL roto sosrrenar
1 TOTAL PROM=it TOTAL SF
"NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicatenumber of each type of fixture to be installed or relocated as part of this project. Do not include existing g fixtures to remain.
MECIAHICAL tnrt
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS OAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS
BOILERS FIREPLACE INSERTS MISC(Describe)
COMPRESSORS HOODS icomm.rrt,q
FURNACES RANGES '
DUCTS. • GAS LOG SETS
REFRIG.SYSTEMS
PLUMBING
BATHTUBS or rub/Shower Gaga LAVE(Bathroom Mahal URINALS
DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACWM BREAKERS
SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKS 'i craw)
HOSE RIBES WASHING MACHINES .
SUMPS
SIGNATURE
I cert(fy under penaity of perjury that I am the roe best..
knowledge, the information submitted in property�owner or authorised aper!of the property owner.I certify that to the of my
Citynlege, t Federal Way regulations tea support of this permit application is true and correct.I cert* that I will comply with all applicable
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 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 q f the city, including its officers and employees, upon the accuracy of the'information supplied to
the city as a part of this application.
SIGNATURE: t..I C 2i /
party Owner and/or Authorized Agent DATE
o NEW a ADDITION • a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO . BASIC PLAN?
a,YES ti 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
16HandoutslPermit Annlication