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02-105130 • • City of Federal Way Plumbing Permit #:02 - 105130 - 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 APARTMENTS Project Address: 30805 18TH SW UnitA Parcel Number: 122103 9141 Project Description: PL-Add(1)washing machine outlet Owner Applicant Contractor z Forest Cove-388 Lie A-1 ELECTRIC&PLUMBING INC A-1 ELECTRIC&PLUMBING INC 1703 SW 309TH ST PO BOX 66965 PO BOX 66965 FEDERAL WAY WA 98023-4389 SEATTLE WA 98166 SEATTLE WA 98166 - (206)431-1991 Plumbing Fixtures Descript cirl. . `Q tityy i . . . esenption iQuantity ....:Qescrrptlon v_= Quantity, Laundry Washer Outlets 1 i PERMIT EXPIRES May 17,2003,IF NO WORK IS STARTED. Permit issued on November 18,2002 . ,V 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 State of Washington and the City of Federal Way. Owner or a ent: See Application Date: CITY OF FEDERAL WAY g f3UlLDING DEPT. Ci - .2 s 1.- G c7f.rr , A/ ,,©,2 v - 'Wf()i//1 KO A( c/e-'; irl .(?)' ' (\c)\- tig : \L' \./ • ECEIVED CONSTRUON PERMIT APPLICATION _ U E3Y E I ZAL_ N O V 1 8 2002 'APPLICATION NUMBER: Q - I O yr3, - 2 APPLICATION NUMBER: - ITY OF RAL WAN/ BUILDLNG DEPT APPLICATION NUMBER: -- - -- � -� - - , **The following is required information—Please print(in ink)or type** Please notc Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS: 3006 1- lac co ASSESSOR'S TAX/PARCEL#: 4 J,c 3 - 5141 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING td4LUMBING 0 MECHANICAL ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM� PROJECT DESCRIPTION(Provide detailed description): P 1o\ i I C e\Cd \ t e st,.:. PROJECT NAME: rO(Q * C3\IQ A wir* rT J ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE. Forest Qove, MAILING ADDRESS(STREET ADDRESS;QTY,STATE.ZIP): g5Oo (Y J d ; 3Oo! t)or4 Lc nr , 0 2. )1a-t°►. CONTRACTOR: NAME: worm*PHONE: A-1 e-te ►- ., A Pt ( )Lot MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 3 EVENING PHONE: P. © . Box (cs(cq (e'Sj 5t. 1e WA (18tcoto ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ' FAX NUMBER: } - Ij c� a. 1 Z - fc (oco ) ��, -c�61-5 c 7 (copy )REGISTRATION NL*,eE� L�d- _c L E P i� _ 3 _ EXPIRATION/ 1.7 f`7 . / O-5 APPLICANT: NAME: DAYTIME PHONE: 3C4r\NC a (® -trac\-'c ( ) !AILING ADDRESS(STREET ADDRESS;QTY.STATE.ZIP): EVENINGPNONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ( QONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVFN 1-E HTrwr TNF fi DDrumm rcc�rw• *#NEW RESIDENTIAL CONSTRUCTION ** • NUMBER OF BEDROOMS- ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: — . s :,,..Y ;. _�n..n ��■♦:FIXTURES x }..: 4;. .__, .; ; ��.,.M . :, 4. .�sbl SirAfY.}T4a. 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: U ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) I WASH MACHINE OUTLET MISC. GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) 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 daim(including costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAMEITITLE: '�J�L 4 / ) t 4, l ( i DATE: /( / "'6 ❑ PROPERTY OWNER ❑ APPLICANT a CONTRACTOR ROFFIC E USE i.401. 1 E+�► � " DD O . A ERA IOI EPAIR ' i� lA M MENT `� S CODE s t ' . ns .ESIGNATIOtlial i.WWTsb 41 G,HEL1 NLMTA-n-ES" ,L iNO� w P;a' N DESIGNATION, ASI , ? ES . E7 0� u� E ON - TOWNSHIP •- 1NGE DRESS UUIIii D? -2t.,1:3 NO ❑YES .E. .._._ OOMMIINny DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederaiway.com