08-100313 • •
City of Federal Way Plumbing Permit #: 08-100313-00-Pt
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 A B C D
Project Address: 30912 17TH AVE SW Parcel Number: 122103 9006
Project Description: Installing washer hook-up and vent in each unit.
Owner Applicant Contractor
FOREST COVE-388 LLC #1 CONSTRUCTION #1 CONSTRUCTION
12000 NE 8TH ST SUITE 200 918 S 301ST ST ICONSC*961.JG(4/7/08)
BELLEVUE WA 98005 FEDERAL WAY WA 98003 918 S 301ST ST
FEDERAL WAY WA 98003
Plumbing Fixtures
Laundry Washer Outlets 4
PERMIT EXPIRES Friday, January 22, 2010
Permit Issued on Wednesday,.January 23, 2008
'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 regul 4i."- f ttigf r�tl
and the City of Federal Way. �` 6 (J r'
Owner or agent: :,,,;,ii Date: SAN 2 1Vt-__--
'JAN 2 3 2008
.1,,;-.-Qu/
• THIS CARD IS TO *AIN ON-SITE ,
CITY OF , Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100313-00-PL
Owner: FOREST COVE-388 LLC
Address: 30912 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 Ongoing inspections
are logged on the back of this card.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By c.:___ _..... Date $ — vj ca, By Date
❑ Final-Plumbing(4075)
Approved
By e Date \ ._ 3 o
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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RECEIVEC
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Federal Way PERMIT JAN 1 8 2008 SF MF CO ME EI�� 1P DE EN FP
• COMMI/NITYDEVEWPMENT SERVICES
33325 D AVENUE,WA 9•PO 971 9718 APP L I C� ` ERAt
FEDERAL 07Y,FAX
53-8 3A718 TD / /
?53-d35-Z607•FiVCZ53d35-?609
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The following is required information-an incomplete application will not be accepted. Please print legibly(in inky or type.
NI PROPERTY INFORMATION - ..
'c' ��
SITE ADDRESS_ / ('-C SUITE/UNIT#_ /_f-,� , C
ASSESSOR'S TAX/PARCEL# . .- C_._ r`C ( LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
0c (Attach separate page far lengthy lead description/
d .
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING s ;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)
PROJECT.NAME(Name of Business or Owner Last Name) Far[° `6 f 6 ve / Fs '
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 'E-ST Ccv(, Z:G C ( ' )
MAILINO ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS '
r".„,2 a 6 r. Ar t- ..S/..— 4- ezZ te-6,/c—7' Oc' '
CONTRACTOR COMPANY NAME APPLICANT NAME v/. OFFICE PHONE
MAIL ADDRESS >���ieUC77o'v CITY,STATE,ZIP(_7/ . `" /CELL PHONE ? T�7
C1TY OF FEDERAL WAY BUSINESS LI ENSE NUMBER 1 PII�ON'DATE FAX-NUMBER -
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
4r r CU,VcC. - ( yar T(, ' >`�
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
_5 4— ( ) _
MAILING ADDRESS CITY,STATE,ZIP •CELL PHONE
.:c ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT �..5 ! M' 25 ( ) -
r
LENDER NAME Per RCW 19.27.095:
• ---(iv' (j e::: Lender information is required if project value exceeds$5,000
MAILING ADDRESS - CITY,STATE,ZIP PHONE
/
1 ) -.
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES o 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 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
_ PROJECT FLOOR.AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ?XQefleO ?11OPOSLD TOTAL TOTAL=ATM Al TOTAL PROPOSED AP TOTAL Br
*.*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicatenumber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orrusishower comm) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Too
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of 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 may be made by any person, including the undersigned, and flied 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: 9 DATE �l e
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? - a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Ilandouts\Permit Application