08-100836 z
City of Federal Way y°fFede'a'Way Plumbing Permit #.18-100836-00-PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS UNITS A C D
Project Address: 30933 17TH AVE SW Pa el Number: 122103 9006
Project Description: Installing laundry washer hook-up in each unit.
r
,
Owner Applicant ntractor
FOREST COVE-388 LLC #1 CONST TION ,1 ONSTRUCTION
1703 SW 309TH ST 918 S 301 1CONSC*961JG(4/7/08)
FEDERAL WAY WA 98023-4389 FEDERAL WAY 8 918 S 301ST ST
FEDERAL WAY WA 98003
I bin ix re ' fb)
Laundry Washer Outlets , .... 3
P IT PIRES Fri :he ebruary19, 2010
Issued on Wednesday, February 20, 2008
I her ertify tha abo information iscorrect`and that construction on the above described property and
ccup ncy and use will be in accordance with the laws, rules and regulations of the Stile of Washington
and the City of Federal Way.
Ow r agent , e Date: p
FFP 2 0 200F'
FEB 2 0 2008
arst‘ THIS CARD IS T MAIN ON-SITE
CITY OF, OCommunity Develop lent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100836-00-PL
Owner: FOREST COVE-388 LLC
Address: 30933 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) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date Bys Date ..0 • By Date
— 0 Final-Plumbing(4075)
Approved
By C, - Date 3 �1g ce,
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED
�orI .14 e 1 rg lW192008 - L .d 1312
�
• COMMUM7YDEVELOPMENT SERVICES P E R M ItB
SF MF CO ME LPL DE EN FP
33325 8ni AVENUE FEDERAL WAY, 98063-9718 971 a A P P L I C A A L WA p
253-835.1607 FAX 253-835.2609
µnow,d t uo/federalwa u.cm
The following is required itforntation—an incomplete application will not be accepted. Please print legibly(in ink)or type.
NI PROPERTY INFORILIATION
SITE ADDRESS / '�
`� 33 `'1 A U SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# . C �c LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach.epmnta page for lengthy legal description)
111 PROJECT 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) 4/
C-,
IIII PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Ce, , )
MAILIIN ADDRESS fir-Fr
j gyp- CITY,STATE,ZIP E-MAIL ADDRESS
�3
/ G r. ( /)Fr ..s o.24:7.. 't .l
CONTRACTOR COMPANY NAME
• MA!IL�I-I155r0 . APPLICANT NAME OFFICE PHONE
AD/DRESSC-SAC /QL1r77O/C/ CITY, �T25tE, CBLLPHO
e .
_.;c/ Sy S #tiet) �F .UM)c� 3 -
CI OF FEDERAL WAY'BUSINESS LICENSE NUMBER EXPI TION ATE BER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑ Tenant ❑Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT
LENDER NAME Per RCW 19.2.7.095:
• Y, () T Lender information is required{/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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS :-.
•
AREA DESCRIPTION EXISTING
PROPOSED TOTAL
BASEMENT SQ. FT. SQ.FT. SQ
FIRST
SECOND •
•
THIRD
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 •
swarmI 'swamp rAt I ro
TOTAL 18112711101811271110G sr TOTAL rROIOUD sl
TOTAL Cr
NUMBER OF FLOORS
`!NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
Indicate number of each type of fixture to be installed or relocated asf this project.cut o Do not include existing twig furfures to remain.
b?$GFIAMCA.L
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS FANS
BOILERS GAB WATER HEATERS MISC(Describe)
FIREPLACE INSERTS HOODS(c.mmad.q
COMPRESSORS • FURNACES
DUCTS. RANGES
• GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or rub/Shower G LAVS(6.thnom e(nk URINALS
DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACWM BREAKERS
SHOWERS WATER CLOSETS R.o.q
ELECTRIC WATER HEATERS SINKS - •
HOSE BIBBS WASHING MACHINES
SUMPS
•
• SIGNATURE • •
I ................
csrt(fy under penalty of perjury that I am the property owner or authorised agent
qf the knowledge, the information submitted in support o f this permit application is true comet. owner.Ill ct m that to the applicable q f my
City of Federal Way regulations pertaining to the work authorisebythe b and comet.I c understand thatI that
he issuancey with all his permit it
does not remove the owner's responsibility +ua a l a permit.I cruc thao environmentalathis permit
po ty Jor compliance with focal;state,or federal laws regulating construction or laws.
I further agree to hold harmless the City o f 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 q f the reliance o f the city, including its officers and employees, upon the accuracy of the formation supplied to
the city as a part of this application.
SIGNATURE• /--j ('i ��.
(,._1 Property Owner and/or Authorized Agent DATE Y ;
a NEW a ADDITION . a ALTERATION a REPALg
a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO . BASIC PLAN?
ZONING DESIGNATION• a.YES a NO
CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU?
PLATTE])LOT? a YES a NO
a YES a NO DEMO PERMIT REQUIRED?
. OYES a NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4
klHandoutsTennit Application