08-100833 ' . w
1
City of Federal Way + Plumbing Permit 4038-100833-00-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 C
Project Address: 30916 17TH AVE SW Parcel N • ber: 210 k\
Project Description: Installing laundry washer hook-up in each unit.
Owner Applicant ractor
FOREST COVE-388 LLC #1 CONSTRUCTION ;`` #1 CO 'UC
12000 NE 8TH ST SUITE 200 918 S 301ST ST ICS,, SC*'., ' 4/7/08)
BELLEVUE WA 98005 FEDERAL WAY WA 003918 S 30 ST S
•
,, DE LWA A ''I ri
Plumbin
l?"16or (11 0
Laundry Washer Outlets 2
P
P. •41, S Friday, February 19, 2010
Per ssue u 1 ednesday, February 20, 2008
I he ertify that the a informa in is correct and that the construction on the above described property and
ccup y and the us ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner agent: �"' Date �`�� '''•'' 1' ''' .I, t.
FEB 2 0 2008 FEB 2 0 2008
THIS CARD IS TWEMAIN ON-SITE
CITY OF • A, Community Developalrent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100833-00-PL
Owner: FOREST COVE-388 LLC
Address: 30916 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 By C . Date _2 L. c`t By Date
❑ Final-Plumbing(4075)
Approved
By C Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�E�EIVE
�t � - 0 3
FderrtIJy . PERMIT L- �- - - - - - : -
• ct�AlilUmrYDSVSLOPAISNTsBRy,CBS LB 1 9 2C-EF MF CO ME E CPL DE EN FP
333158ERALWY,WAAVENUE 1•POBOX 9718 d AppLICATI T l
FEDERAL WAY,WA 98063.9718 TO
753-835.1607•FAX 253-83S-2609 F FEDERAL WAY
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CDs
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
PROPERTY INFORMATION
SITE ADDRESS_ '3 7./ t/' , i74-17 A u c k,' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# . /—.c /' _TC___ 'C (°- .
LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deaa'tption,
■ 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)
/',rr-<T (.-- ,it,>•-s , /2- ., ff) 1./
PROJECT•NAME(Name of Business or Owner Last Name)
al PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER /e- 5c7" Cd(ie GL. C. ( ' ) -
MAILINO ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
AZ n e /Stl T?7ji .-SS7 ` k fl &.,/C-",'-c ..(--
CONTRACTOR COMPANY NAME . APPLICANT NAME OFFICE PHONE
er C: s' .e/C77o rc/ /,,t(V 7/ Cyt f' Z2 L 3.
MAILING ADDRESS CITY, ATE,ZIP CELL PHONE Z
/p _� � S�LIE
��- e,1, w.6 5 c ? ( i 1 c 3 -... �,.i'a
CI OF FEDERAL WAYBUSINESS LICENSE NUMBER EXPIRATIONDATE FAX—NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE EMAIL ADDRESS
/ CU/Vcc: --( ��/1-E, .6e/e-e
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C / `
MAILING ADDRESS
�� CITY,STATE,ZIP CELL PHONE
' � �s�/.S
J e4= ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJECT NAME PRIMARY PHONE EMAIL ADDRESS
CONTACT _5.: ;`-/e - zs" ( ) -
LENDER NAME Per RCW 19.2.7.095:
-7?-4e, ( Lender information is required if prefect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) —.
=. I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIILINE 0 TACOMA ❑ 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 FLOORS X0w I PROP°°= I TOTAL ram f TOTAL rxarosso IF TOTALat
•
•
*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ . •
Indicatenumber of each type of fixture to be installed or relocated asf thisproject.art o Do not include existing factures 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 GAS WATER HEATERS
BOILERS FIREPLACE INSERTS MISC(Describe)
COMPRESSORS FURNACESHOODS(wmmetd.q
RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(er7ub/ebowtcasbq LAVS aware.=sagas URINALS
MISC(Describe)
• DISHWASHERS
RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKS (Iwo
•
HOSE BIBBS SUMPS
---r • WHING MACHINES .
•
• • SIGNATURE •
............._
I certify under penalty of perjury that I am the property owner or authorised agent qf the property
knowledge, the information submitted in support of this permit application is true and correct.I certify owner.hat I will amply
that to all best c my
City of Federal Way regulations pertaining to the work authorised by the issuance aunderstand tant Ithat he issy ace all his pe m it
does not remove the owner's res nsibili or of Pregul i environmental issuance of this permit
responsibility compliance with loom stab,or federal laws regulating construction or 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•
' DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION . a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO . BASIC PLAN?
• a YES o NO
ZONING DESIGNATION• CHANGE OF USE?
OYES ONO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?
a YES ONO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2008 Page 2 of 4 k\iandouts\Permit Annlication