08-100797 ! t + •% w
• .
City of Federal Way Mechanical Pit #18-100797-00-ME
Community Development Services •
Permit
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 B D
Project Address: 30920 17TH AVE SW Par - _ :,122103 9006
Project Description: Installing washer/dryer hook-up and vent in each unit.
Owner Applicant Contr. ' or
FOREST COVE-388 LLC #1 CONSTRUCTION #1 CONSTRI IN
1703 SW 309TH ST 918 S 301ST ST ICONS; 961JG ,/7/08)
FEDERAL WAY WA 98023-4389 FEDERAL WAY WA 98003S 301ST
,``a-X , ;
THIS CARD IS T MAIN ON-SITE
CITY OF *Community DevelopMent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100797-00-ME
Owner: FOREST COVE-388 LLC
Address: 30920 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.
#--❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By c, Date 2 o<e) By Date Bye_��,1 Date 3 y g_o%
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
0 .. vi A
Fieeter�al Way RECEI I/ O - Lo_ 0 _2 al
COMMUN7TYDEVELOPMENTSERVICES PERMIT SF MFC ME LPL DE EN FP
3332AVE
�DERAL WAY,W8063.9�89718 y p ^O ( �
1 �7 L giPPLICATIOIV TD / /
253-835-2607.FAX 253-835-2609
Www,dtuofederalwau.cam
..Y OF FEDERAL WAY
The following is required Inf tion—an incomplete application will not be accepted. Please print legibly(in ink)or type.
I. PROPERTY INFORMATION -
SITE ADDRESS 3C, T'z ci / 7 7ii AL/e- , S c c) SUITE/UNIT# A_,J
ASSESSOR'S TAX/PARCEL# /- / / .,7 _77 � LOT SIZE(s/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ? .
(Attach separate page for lengthy teed description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ' MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
rL
PROJECT NAME(Name of Business or Owner Last Name) l(Ne s- _ ? .. a—
III PEOPLE INFORMATION
PROPERTY NAME �' PRIMARY PHONE
SS
OWNER 2 C_� (O/�� _ (
MAILING ADDR s CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COO��MMPPPANYYN�NAME / /��' y- APPUCANT'NAAMME / / � We
ICE PHONE J
M,'(I .'ADDRF G r/y�- i-,C77c v �O/Y(�7�.// ,,%7',�� + e' ,) if'-_2:Lr 7
CITY,STATE,ZIP CELL PHONE
ABY �O/ -�� �T .� / i,_
O FEDERAL WAY BUSINESS WCENSE NUMBER y - 7- lAX N ?Y7 ` <'
71 1 0ZATE FAX NUMB ft
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
c cc A` 76i,---C 34;/*
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS / ��
tr�(�, CITY,7 .i/y/
S/TATE,Z[P CELL PHONE
RELATIONSHIP TO PROJECT /t �, (
FAX NUMBER
0 Architect ❑Tenant ❑Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.17.095:
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? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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 FLOORSI ' " ° I raawsm I Taro
TOTAL MIMI°ar TOTAL PROM=IF
TOTAL ar
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing 8 furfures to remain.
MECHANICAL •
Value of Mechanical Work$ Z V 6V (A COPY OF BID OR ESTIMATE MUST BE INCLUDED
WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS GAS PIPE OUTLETS WOODSTOVES
BOILERS GAS WATER HEATERS MISC(Describe)
FIREPLACE INSERTS HOODS(aammatoLq
COMPRESSORS • FURNACES
- DUCTS. • RANGES •
GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
•
BATHTUBS(or Tab/Showa Combo) LAYS Iaswo.m sinks URINALS
DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACUUM BREAKERS
SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKS R°s°q •
HOSE BIBBS WASHING MACHINES .
SUMPS
• SIGNATURE •
•I cert*under penalty o f perjury that I am the property owner or authorised agent •
o f the propertyt_f
knowledge, the information submitted inf I.I will amply that to theall best q f my
City of Federal Way regulations pertaining ��permit application is true and correct.I cert(fy that I with all applicable
Pe ining to the work authorised by the issuance of a permit.I understand that the issuance of this 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 of Federal Way as to any claim(including
investigation and defense of such claim), which may be made by costs, rsi expenses and filed attorneys'aist the ncumd buto the
where such claim arises out of the reliance of the city, including parson, including the undersigned,'
pon the ac and against city, plonly
• the city as a part of this application. 9 officers and employees, upon the accuracy of the ir{formation supplied to
SIGNATURE• �`
Property Owner and/or Auth•{ ' .• Agent DATE x C,
(i' 1ra`a t::)`()a lfik`a`t l#g'}ae.
a NEW a ADDITION . a ALTERATION a REPAIR
a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
••ZONING DESIGNATION• a YES a NO
CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?
PLATTED LOT? a YES a NO
a YES a NO DEMO PERMIT REQUIRED? . YES
• a NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4
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