12-103362t e
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0
,
Mechanical
Permit #: 12 -103362 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS - LEASING OFFICE
Project Address: 31004 191M PL SW
Parcel Number. 122103 9006
Project Description: Retrofit ductless mini split -heat system. Install (1) indoor unit and (1) outdoor unit
Owne
ARI21ican
Contractor
FOREST COVE LLC
BOB'S HEATING & A/C INC (GENERAL)
BOB'S HEATING & A/C INC (GENERAL)
12000 NE 8TH ST SUITE 200
13615 126TH PL NE SUITE 400
BOBSHHA9790B (9/2/13)
BELLEVUE WA 98005
KIRKLAND WA 98034
13615 126TH PL NE SUITE 400
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation............................................5100
Is this an Online or O.T.C. application?.................No
Mechanical Fixtures'
Air Conditioners - Stand Alone Un 1 Compressors / Heat Pumps............ 1
PERMIT EXPIRES Sunday, January 27, 2013
Permit Issued on Tuesday, July 31, 2012
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 agent: ` Date: %13 / /.10 j a
PWALtfo X/e//Z
f
CITY of
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -103362 -00 -ME Address: 31004 19TH PL SW
FOREST COVE LLC FEDERAL WAY, WA 98023-4389
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.
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By joC6,,C
Date k -2 - 4Z_
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
o
RE y
COMMUNITY DEVELOPMENT SERVICES
=242=4f 09
PERMIT
APPLICATION
la
SF MF CO ( `1 PL DE EN FP
_V9;
SITE !fSS
SUITE/UNIT N
31004 19th PI SW, Federal Way 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 5100.00
1--2 2J_ Q Q-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1TenantName/Homeowner Last Name)
Forest Cove Apartments
retro -fit ductless split heat pump. One outdoor and one indoor unit for
PROJECT DESCRIPTION
Detailed description of work to
sales office.
be included on this permit only
PROPERTY OWNER
NAME
Forest Cove Apartments
PRIMARY PRONE
509-999-2756
MAILING ADDRESS
E-MAIL
31004 19th PI SW
cFederal Way
$WA
Z 98023
NAS
Bob's Heating and A/C
PHONE
800-840-3346
MAILING ADDRESS
E-MAIL
CONTRACTOR
13633 NE 126th PL Suite 350
cKirkland
STATE
WA
ZIP
98036
FAx
WA STATE CONTRACTOR'S LICENSE #
BOBSHHA9790B
EXPIRATION DATE
9/ 2 X12
FEDERAL WAY BUSINESS LICENSE 8
20 -04 -104965 -00 -BL
NChristiana Flajole
206-378-6630
APPLICANT
MAILING ADDRESS
13633 NE 126th PL Suite 350
E-MAIL
cflajole@bobsheating.co
Kirkland
'WA
98034
FAS
PROJECT CONTACT
(The individual to receive and
NAME
Christiana Flajole
PHONE
MAE ING ADDRESS
E-MAIL.
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best
of my knowledge, the Wormation submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
ir(formation supp ed to th c ty as a of this application.
SIGNATURE: DATE 7-20-12
PRINT NAME: Christiana Flaj le
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Pennit Application
0 •
VALVE OF MECHANWAL WORK
DI QU.QU
(a copy of bid or estimate must be provided)
Indicate holo many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS(comm.a) ductless split
BOILERS
FURNACES
HOT WATER TANKS )Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TENANT AREA ONLY
fto"CT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
ti
AREA DESCRIPTION
Area
In Square Feet
Occupancy Group(s) Construction
# of
Stories
Additional Information
a
Nttw'$tr�tN4
ADDITION
ITIN
Aw IOD
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s) Construction
# of
Additional Information
a
Stories
TOT4 AILD tG
TENANT AREA ONLY
fto"CT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application