08-100306 •City of Federal Way
Community Development Services •Mechanical Permit,: 08-100306-00-ME
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 ABC D
Project Address: 30912 17TH AVE SW Parcel Number: 122103 9006
Project Description: Installing washer hook-up and vent in each unit.
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Owner Applicant Contractor
FOREST COVE-388 LLC #1 CONSTRUCTION #1 CONSTRUCTION
12000 NE 8TH ST SUITE 200 918 S 301ST ST ICONSC*961JG(4/7/08)
BELLEVUE WA 98005 FEDERAL WAY WA 98003 918 S 301ST ST
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation 2500 Over the Counter Permit" Yes
Mechanical Fixtures
Ducts 4 Fans 4
PERMIT EXPIRES Saturday, January 23, 2010
Permit Issued on Wednesday, January 23, 2008
I hereby certify that the above information is correct and that the construction on the a•,ve described property and
the occupancy and the uss t inAcC,to4 .: A,01/ ws, rules and regulation .. ": t ' tiOn
aa77 •. �rF. �dil
Owner or agent: - Date:
JAN 2 3 2008JAN 2 3 2008
• THIS CARD IS TIOEMAIN ON-SITE
CITY OF '' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100306-00-ME
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 On-going inspections
are logged on the back of this card.
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0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical (4065)
Approved Approved to release test Approved
By() yy, _ Date — =5& By Date By (�\brj_j Date\, 3% e$
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For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
RECEIVED
w o !- .�
MP OP
a 3 v
• Federal1/a PERMIT' 18 Zoos —. - - - -�
- COMMUNTYDEVELOPMEN'SERVICES L W MF CO- L PL DE EN FP
33325 D AVENUE SOUTH•63 BOX 9718 P P L f IFS Rik
FEDERAL WAY,WA 98063.9718I I
253-835-2607•PAX 253.835-2609 �
IWW W.atyofederalwa u.coal
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
- IN.PROPERTY INFORMATION
SITE ADDRESS_'4:77 I{ t l ^ ' , _,
Le)
r
�� 1 j �� V ' ✓� SUITE/UNIT ii_ 9 '' , C •I)
' 0 / ' �e,�
ASSESSOR'S # - �C:�_7 / e.c 6-- LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
006 (Attach immoatepope for lengthy legal description)
■ PROJECT INFORMATION '
TYPE OF PERMIT 0 BUILDING 0 PLUMBING. •MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
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PROJECT.NAME(Name of Business or Owner Last Name) Fffe,.5f-
l-Y V._ .` / 1---,s
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER s � ( i .d......(-- ( • ) -
MAILING ADDRES CITY,
STATE,ZIPE-MAIL ADDRESS
/jt2t5 t, 6(.(----6'e
` Q
CONTRACTOR COMPANYY NAME . APPLICANT NAME OFFICE PHONE'
MAILING ADDRESS 'N 72 f 7 C� CITY,STATE,ZII)J ��term (2e 1 ?' -%2?
wry CELL PHONE
/
CITY PFEDEWABUSINESS LICENSESNUMBER �4 ,' PIIOPMION DATE FAX NUMBER - �St
(
CONTRACTOR'S REGISTRATIONNUMBliRL.e"(v_s` EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
%/?Tc cr� (
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other (
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT _ ( ) -
I
LENDER NAME Per RCW 19.2.7.095:
e-' --. A2� Lender information is required if project value exceeds$5,000
MAILING ADDRESS : CITY,STATE,ZIP PHONE -
,-4. 'e-=-` . ( ) _.
:. I:DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED.VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO -
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
F3.T1:CT PR t�t.'�T.BS
( FLOOR
10.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT i SQ. FT. SQ.FT. SQ. FT.
FIRST •
SECOND •
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THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
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NUMBER OF FLOORS Iwo PROMO TOTAL TOTAL sslermo AlTOTAL rsarosss sr rano IT
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**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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■ FIXTURES .
Indicatenumber of each type offb�cture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL .•
Value of Mechanical Work$ t-) (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(Commerda4
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING •
BATHTUBS(stub/Shower ambo) LAVS Ie.nv.em sbJu1 URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS irod.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 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: ! Ke- DATE f rK,
Property Owner and/or Authorized Agent
�D L)• I >?{
a NEW a ADDITION . a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application