08-100834 c t
City of Federal Way . 0 Plumbing Permit S18-100834-00-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 B D
Project Address: 30920 17TH AVE SW .reel N -r: 12211 , 9006
Project Description: Installing laundry washer hook-up in each unit.
Owner Applicant , Co• tor
FOREST COVE-388 LLC #1 CONSTRUCTIO TRU IN
1703 SW 309TH ST 918 S 301ST ST 6 ( 4)
FEDERAL WAY WA 98023-4389 FEDERAL WAY WA 3 9130 ST
ERAAY WA 98003
mn9 IbC1Laundry Washer Outlets
PERFrid , ebruary 19, 2010PermfcilLit.iiiitu
ed onnesdayFebruary20, 008Ihe rtify at the abo orcorrect 01 that the construction on the above described property and
t cups nd the use a in accordance with the laws, rules and regulations of the State of Washington
and the City
'of Federal Way. x u
1/4)63
Ownerc
: �, . Date:
FEB 2 0 200
FEB 2 0 2008
Ak - THIS CARD IS TWEMAIN ON-SITE .
CITY OF '--a aoCommunity Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100834-00-PL
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 0— v Date a _2_44. —�% By Date
— 0 Final-Plumbing(4075)
Approved
By 0.t Date 3 \g_0%
IE
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
it .st'
�mo> • RECEI ft =.
.1_ 6_4• .. ag
Federal Way• COMMON DEVELOPMENT SERVICES PERMIT = j 9 ASO SIF CO ME PL E EN FP
33315 AVENUE SOUTH• BOX 9718
APPLICATION
FEDERAL WAY,,WA 9806363-9718 f /
153-835.1607•FAX 153-835.1609 3 OF FE(] RAL
unary,a tuotfe derahua v.cv,l
The following is required ittforntation-an incomplete application will not be accepted. P -ass print legibly(in ink)or type.
PROPERTY INFORMATION
SITE ADDRESS_ •,y (,
7 h / c >t/l SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# . L ,- ` .--4 / ,--c__ '{r-Z~ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aepwate paps for length/legal deacripth4
■ 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)
7-Ars---77,4c__ /6 ,>_-j e, ---/2__ ..r it//2 /,/ -,,-7--
PROJECT.NAME(Name of Business or Owner Last Name) R ,
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER /ec c7— r-d( L_L. C ( ' )
MAILING ADDRESS �- CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME // ` APPLICANT NAMENAOFFICE PHONE
I . C- lC/CL/t �O!V 6/.+"(tr_7/ (Z,6 �..sx3 _37
MAILING ADDRESS CITY,SLATE,ZIP CELL PHONE
7/f> _� 3c .S S�— � ,-"= ? wY ,y. cV? ( r/)c 2 -- .�
CITY OF FEDERAL WAY BUSINFSS LICENSE NUMBER EXPIRATION ATE FAX—NUMBER
( ) —
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
C�4/SC: -4 y,( S(-, a.e/c-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5. Gr%f 4- ( ) _
MAILING ADDRESS - ��J /_ CITY,STATE,ZIP CELL PHONE
ie r3 �/C ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑ Tenant ❑Agent ci Other ( ) -
PROJECT NAME PRIMARY PHONE
CONTACT ___5.: -/e. ms 5 ( ) -2 E-MAIL ADDRESS
LENDER NAME Per RCW 19.9.7.0951
--L,e, (f Lender information is required if prefect 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? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
it
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 ammo I T1O50IXD l TOTAL
TOTAL LIMITING IF TOTAL rsaMosso sr
TOTAL sr
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
•
Indicatenumber of each type of fixture to be installed or relocated asf this project art o Do not include existing m9 fixtures to remain.
MECHANICAL •
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS GAS PIPE OUTLETS WOODSTOVES
• FANS GA8 WATER HEATERS
BOILERS FIREPLACE INSERTSHOODSmMISC(Describe)
COMPRESSORS Ic. m.ea.q
FURNACES RANGES
DUCTS. • GAS LOG SETS
REFRIG.SYSTEMS
PLUMBING
•
BATHTUBS or Tub/shower combo) LAYS(Bathroom BInkM URINALS
DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACUUM BREAKERS
SHOWERS WATER CLOSETS trmikq •
ELECTRIC WATER HEATERS SINKS
HOSE BUMS WASHING MACHINES .
SUMPS
•
SIGNATURE •
I cert{fy under penalty ty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
fie, the information submitted in support o f this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations 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 snag 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: /,.-i DATE / /El- "6,Y
Property Owner and/or Authorized Agent
s f?1 0i {0561,' a"041 �a
a NEW o ADDITION • o ALTERATION a REPAIR
a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO . BASIC PLAN?
•ZONING DESIGNATION• a.YES o NO
CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?
PLATTED LOT? a YES a NO
a YES a NO DEMO PERMIT REQUIRED? a YES
a NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4
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