08-100848 ' t. city ii€ederal Way • Plumbing Per • a :\-100848-00-PL ,
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Ins• "+.ion r q t Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS UN S A C VI' i
Project Address: 30919 17TH AVE SW Marcel Number: 122103 9006
Project Description: Installing laundry washer hook-up in eac
Owner 'ppli' Contractor
FOREST COVE-388 LLC #1 \' 'U #1 CONSTRUCTION
1703 SW 309TH ST 91: = 301 T \t;
1CONSC*961JG(4/7/08)
FEDERAL WAY WA 98023-4389 AL W 8*.3 918 S 301ST ST
FEDERAL WAY WA 98003
Plumbing Fixtures
Laundry Washer ttets 3
PERMIT EXPIRES Friday, February 19, 2010
Permit Issued on Wednesday, February 20, 2008
I he certify that the above information is correct and that the construction on the above described property and
the o pancy and the use will be in accordance with the laws, rules and regulations of the Sta Vias ipgton f,
and the City of Fed a ay °s,,� i- ' a '' t
Owner or agent: ' "''.° .°' .'t.'4 i l ' Date:
FEB 2 0 2008
-EB 2 01008
444k THIS CARD IS T MAIN ON-SITE -
• •
CITY OF �, . 5 ��au:..�. Community Develop •nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100848-00-P L
Owner: FOREST COVE-388 LLC
Address: 30919 17TH AVE SW
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 Bye- 1k..�} Date 9.. ,_ �% By Date
— ❑ Final-Plumbing(4075)
Approved
By C, .1 Date 3_‘$,o l3
IE
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A Ilk RECEIVEilk
67_2_ - 1. . 0 0 3 'H X •
Fadertil Way• COMMUNITYDEVELOPMEN'SERVICES PERMIT SF MF CO ME E PL •E EN FP
33325 1071 AVENUE SOUTH•PO BOX 9713 A P P LI C AT I � r
FEDERAL WAY,WA 98063-9718 -
253-835-2607•FAX 253-835.7609
pnuw.dhrollederahuay.cm
The following is required information-an incomplete application will not be accepted. ase print legibly(in ink)or type.
' • • PROPERTY INFORMATION
am/ .. ,._
SITE ADDRESS- O 7/7 /1 , 4 A L1
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# . LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach eeparatepage Jar lengthy legal description;
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING PLUMBING. . 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/*-C71L"L_ 7/L,i , , --/2- .4-07v72 1✓v-7"
PROJECT.NAME(Name of Business or Owner Last Name) A-1 C ..
l j
is PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 4E=.57- CV(//6=-- GG. C ( ' )
MAILIND ADDRESS �- / CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/ c.,,,v<7 &( 77o� d.,-4it/ z
MAILING ADDRESS CITY,STATE,ZIF ��'4 . �aG `�
4/� au,PHONE
pp=e1 iMw ' .Fi*C 2 ( i � 3 -3 g,CI /F FEDERtALWAYclUSINrS=LICENSE NUMBER EXPIRATION ATE F UMBER
( ) -
CONTRACTOR'S REGISTRATION NUMB$R EXPIRATION DATE E-MAIL ADDRESS
/ cL+/tr SC. '4te- yl
t 7-(7 <,/.6.i.-1/45s-
APPLICANT
COMPANY NAME APPLICANT NAME OFFICE PHONE
�/�C-ij ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
�4/ ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT `5 , /, , 23" ( ) -
LENDER NAME Per RCW 19.9.7.095:
• ( , [', 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 ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ 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 mama I "100150 I TOTAL
TOTAL=IMO IF TOTAL rsarorss sl
TOTAL sr
"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.
MECHANICAL
tin
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED
WITHAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BSQS FANS GAS PIPE OUTLETS WOODSTOVES
BOI GAS WATER HEATERS MISC(Describe)
• . FIREPLACE INSERTS HOODS(c.m,,.rdq
COMPRESSORS • FURNACES
DUCTS. RANGES
• GAS LOG SETS REFRIG.SYSTEMS •
PLUMBING
•
BATHTUBS(.r Mb/sh.r.r Combo) I.AVS(Bathroom sal URINALS
• DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACWM BREAKERS
SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKS •
(Tao
HOSE BIBBS WASHING MACHINES .
SUMPS
•
• SIGNATURE
............_ . .............
I certify under penalty of perjury that I am the property owner or authorised agent
knowledge, the information submitted in support this of property f/ I.I certify that to the app q f my
City of federal Way regulations pertaining pori application is anus and pecorrmit I certify fy that I will he issuance
with all this permit Pe tng to the work authorised by the issuance of a permit.I understand that the issuance of permit
doss 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 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 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• r! C
Property Owner and/or Authorized Agent DATE / l
•
a NEW a ADDITION . a ALTERATION a REPAIR
a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a 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?
PLATTED LOT? � a YES a NO
a YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4
IalIandoutsWennit AnDlication