02-105138 • •
City of Federal Way Plumbing Permit #:02 - 105138 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE
Project Address: 1807 SW 308TH UnitB Parcel Number: 122103 9141
Project Description: PL-Provide washing machine outlet for stack laundry set
Owner Applicant Contractor
FOREST COVE-388 LLC*Cove-388 LIc Forest A-1 ELECTRIC&PLUMBING INC A-1 ELECTRIC&PLUMBING INC I
9500 SW BARBUR BLVD UNIT 300 PO BOX 66965 PO BOX 66965
PORTLAND OR 97219-5427 SEATTLE WA 98166 SEATTLE WA 98166
(206)431-1991
Plumbing Fixtures
Description IraUarititi Description Quantity 1.7., Description_..__ uantrty
Laundry Washer Outlets 1L I
PERMIT EXPIRES May 17,2003,IF NO WORK IS STARTED.
Permit issued on November 18,2002
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 St4e of tWarVi >ieti and
the City of Federal Way. ` l-i
ff
Owner or agent:
See Application Date: NOV 1 8 2002
CITY OF FEDERAL WAY
BUILDING DEPT.
— 2 L-, - - r""Q,�, 0., el/ App40
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flAa
4� II
i °` , EIVED CONS1 KATION PERMIT APPLICATION
EliAL APPLICATION NUMBER:
NOV 1 8 2002 APPLICATION NUMBER: -
APPLICATION NUMBER: r.. _ - . -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 1 `5C (r7 rQ�- 3C P K C- ASSESSORS TAX/PARCEL#: 4 r a 1 C 3 - 214
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:.-- - ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING ILUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): r 'rO\ t Q_ + 1 2 0.1 c"\ A L.t�.J
a
re Lli rQc -fir (e ..55 c tt .trri'4 5* -
PROJECT NAME: VO(QS•k- t o\IQ Pt -fir4 men4-
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
EOce A- Qc ver ( ) -
P4AILING ADO (STREET ADDRESS;CTY,STATE,ZIP):
quo V) u-r ISWA ,*- 300) r kc .rd, O 2
CONTRACTOR: NAME: DAYTIME PHONE:
R-t e-te r c. Igi `P (ifiNn,h,-,le , enc.} (Apb)4 % - X99 i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): E,�ING PHOKE
P. a . ASO X WiCICl 405 i
3fct t� ci 8 t to to axNUMe ) -
CITY OF FEDERAL WAY BUSINESS LICENSE
-'i - L Q. a. 1 `ri 7 - 0 0 ( oil, ) i)244, -C)0017
CONTRACTORS REGISTRATION NUMBED EXPIRATION DATE:
(copy a(cad r a) A i . E P.S 1 _(-3- _ I / 17 • / 0-5
APPLICANT: NAME: DAYTIME PHONE:
5COINee Cts C o -r'a.c. c ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): EEVENINGWOKE:
( ) -
REIATrONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
f E MAn.ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CVCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHtINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVFN T7 HTlart Tr4F 11 oorvwrc icerr.-v,'s
**NEW RESIDENTIAL CONSTRUCTION **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT .
FIRST
SECOND
THIRD
t
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _ _�
TOTAL: �y.�
......... -----• . .>'------- s s----„ ^:-,,,�+...,,,,.Aw n..-111,FIX URES"H'Nbs -'t: -.r+.r-H;.. ,,,,),rt3;.M :rrwi- ,,,,,4.,...---,,,,,--,,,,,,
•
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) I WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( '
INTERCEPTOR(S) SUMP(S)
' -■ 'DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: 0 / ± G , DATE L'f
❑ PROPERTY OWNER 0 APPLICANT ,CONTRACTOR
R FFICE USElONLY: l
r )Y - D1 d VOL TION EPAI_..4- r�P 5 P iO N ENT a ,
6 i V,ODE . -cs--V y ILO : $.,''t "....fi i s " 6 T.
— .. I. a ESIGNATION ' �N `l . I , E °e NLr' '`YES',"' ' iNO 1
'�-' -L"-1;''',11)';4:;:- ESIGI!ATION , ” , : ? ,r ESQ . O .
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-6661-4000•FAX:253-661-4129
www.dtvofrederalwaY.com