08-100835 ' f
City of Federal Way i Plumbing Permit 11)8-100835-00-FL
Community Development Services
Ph:(253)
P.O.Box Fax:9718(253)
Federal835-26Way,07 WA 98063-9718835-2609 lnspectio -quest Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS UNITS C D
Project Address: 30928 17TH AVE SW P. :-1N ber: 122103 9006
Project Description: Installing laundry washer hook-up in each unit ,/"
`
Owner April'--nt C tractor
FOREST COVE-388 LLC #1 CONST' - TION #1 ONSTRUCTION
1703 SW 309TH ST 918 S 301S • NSC*961JG(4/7/08)
FEDERAL WAY WA 98023-4389 FEDERAL WAY W ':' ,,' 918 S 301ST ST
FEDERAL WAY WA 98003
lipaliplaIO,
mb Fixture
Laundry Washer Outlets
EXPIRES Friday, February 19, 2010
lilltilliVPermIt Issued on Wednesday, February 20, 2008
Iit
rtify tha above information is correct and that the construction on the above described property and
Cu ancy and use will be in accordance with the laws, rules and regulations of the State of Washington
and the jty of Federal Way. Se a w
on
Seri tl! . ,;. 't, as s . (,
or agent: _ Date:
FEB 2 0 2008 FEB 2 0 700E
THIS CARD IS TWEMAIN ON-SITE
CITY OF - '`-' •CommunitY Developfirent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100835-00-PL
Owner: FOREST COVE-388 LLC
Address: 30928 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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By L -i Date a , cot By Date
— ❑ Final-Plumbing (4075)
Approved
By ` l.� Date 3 -'03...
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A •
Taw .c, - L L . •
r< � vy
PERMIT FEB 1 a SF MF CO ME APL, IE EN FP
- ODMMUMIYDEVELDPMRNTSERVICES ����
33315 AVSNUB SOUTH. 9718 A P P L I C A'
FEDERAL WAY,WA 9806363.971971 8NT g
153-835.1607•FAX 153-8351609
Ilnuw,dtuo/federdtuau.rnlR CIERgi. 4}
1111114111114121111111
CDS
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS_ ,r
7CT 7.....2._E- //741) /4 12* t/L SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# ./ --- .- " _cG=_ 4 _ '›s Cc'Z LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(hath separate pap*for tengft legal description,
■ PROJECT INFORMATION •
Ai
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;rr<7; c-- rc,i, _..-se, ---/2_ ..0iVf //, --71c-7-.
. .
PROJECT
/ -7-
PROJECT.NAME(Name of Business or Owner Last Name) FAFt$ f`t_
IN PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ,,,. ..--. .4_4-- 5-7- C // GG C- ( ' ) -
MAILINADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
/@ o r. /Ve- 2 S -sem` 4-q k 12 Lef/� ee
CONTRACTOR COMPANY NAME / . APPLICANT NAME F OFFICE PHONE
• D/ C s j.P'( 770 ick' r 11 Vic) (-2a6' ).3?5 ,-T:__37
MAIILLLIII 0 ADDRESS /J CITY,`'ATE,ZIP �J,7ffev CELL
�`PHONE
y�
CIA;FEDERAL WAY BUSINESS CENSE NUMBER. �L PIIa�ON'DATE
FAR NUM ER 3 -
( ) _
CONTRACTOR'S REGISTRATION NUMD$R EXPIRATION DATE • E-MAIL ADDRESS
ffr 7 c,,ii se. -4( y/rL T(� a�/c5e
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5- --e4 ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
c7c G% = ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT 5 ,e- S. ( ) -
LENDER NAME Per RCW 19.2.7.095:
• �r 7 5 v Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• _. al DETAILED BUILDING INFORMATION
EXISTING USE • PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 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 •
morrow I rsorosm row. rem 111171140 TOTAL morons•
assess sr TOTAL OF
NUMBER OF FLOORS
`!NEW HOMES ONLY" NUMBER OF I3EDROOMS ESTIMATED SELLING PRICE •
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ArECXil1VICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED
WITFI APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS •
BBQS GA3 PIPE OUTLETS WOODSTOVES
• FANS GAS WATER HEATERS
BOILERS FIREPLACE INSERTS MISC(Describe)
COMPRESSORS HOODS(Gmm.ed.q
FURNACES RANGES
DUCTS. • GAS LOG SETS
REFRIG.SYSTEMS
PLUMBING
•
BATHTUBS Io,n,b/gbmnr fib,) LAVS(Bathroom afnkai URINALS
' DISHWASHERS RAINWATER SYST MI3C(Describe)
DRINKING FOUNTAINS VACUUM BREAKERS
SHOWERS WATER CLOSETS
•
ELECTRIC WATER HEATERS SINKS �/ (Toilet)HOSE BIBBS 7 WASHING MACHINES .
SUMPS
•
SIGNATURE .
of y
I cert(jy wider penalty of perjury that I am the property owner or authorised agent q/the property
m
knowledge,the information submitted toP Psrt11 owner.I.I willcertify corm that to the app bi
City of Federal Way regulations pertaining
of this permit application is true and cosiest I certify that I eaimply with all applicable
Pe ing 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 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: f �i,.,//''��
�r+�perty Owner and/or Authorized Agent DATE
•
^(��Y a� t:3i 1 cis.�: i 'i�•�'
•
a NEW a ADDITION . a 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 a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?
a YES aNO
PLATTED LOT? a YES a NO DEMO PERMIT
REQUIRED? a YES a NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4
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