02-104397City of Federal Way
Community Developnxnt Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FOREST COVE APARTMENTS
Mechanical Permit #:02 - 104397 - 00 - ME
Project Address: 30910 16TH1SW UnitB
Project Description: MEC - Proved venting and exhaust fan
Inspection request line: 253.835.3050
Parcel Number: 122103 9141
Owner
Applicant
Contractor
FOREST COVE -388 LLC *Cove -388 Llc Forest
A-1 ELECTRIC & PLUMBING INC
A-1 ELECTRIC & PLUMBING INC
9500 SW BARBUR BLVD UNIT 300
PO BOX 66965
PO BOX 66965
PORTLAND OR 97219-5427
SEATTLE WA 98166
SEATTLE WA 98166
(206) 431-1991
Mechanical Valuation ......................................... 115 Over the Counter Permit...................................... Yes
Mechanical Fixtures
+.`Descriptign ' �2iaallitt ` Descc�ptlp fi . Quar'tl " :tdescription, Q'uantit
Fs ---- �--
PERMIT
PERMIT EXPIRES April 5, 2003, IF NO WORK IS STARTED.
Permit issued on October 7, 2002
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.
See ApplicatiOD
Owner or agent: _ _ Date:
�61'tFiL- RECEIVED BY
COMMUMTY DEVELOPMENT
OCT 0 7 2002
CONSTRUCTION
PPUCATION NUMBER:
PPUCATION NUMBER:
PPUCATION NUMBER:
PERMIT APPLICATION
**The following is required info matiori — Please print (3h ink) br type**
Please note: Electric i Nei[ i%nr eeHng permits may require a separate application.
!PROPERTY INFORMATION
SITE ADDRESS: %3M
ASSESSOR'S TAX/PARCEL #: �� � � Q • � - 1 L
LEGAL DESCRIPTION OF SUBJECT.PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECTINFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING L"MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION
PROPERTY OWNER:
CONTRACTOR:
::PEOPLE INFORMATION
NAME:
A-1 af6ti c_. Pl u on\OA
DAYTIME PHONE:
(Cg% - t 9 i
MAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP).
EVENING PHONE: 1
_WA
CITY OF FEDERAL WAY BUSINESS LICENSE Of
Q L - Loa
—
05-q - o o
— — —
FAX ONN WP-'
(W�-6 -CM7 1
CONTRACrORs REGISTRATION MAWER:
6 1
16
EXPIRATION DATE:
1 / / 03
(Ow of Cwd 1"wNId)
APPLICANT: NAME, DAynmE P oNE:
S ,r ( �I
• MAILING ADDRESS (STREET ADDRESS. CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
�//'' E•MAtI ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT I.JVrCONTRACTOR
• • BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
cFWFR cFRVTf'F PRAVTnFR• n 1 AKFHAVFN fl NT(:HI THF n PRTVATF PgFPTTri
w,'eN W tiESIDENTIAL CONSTRUCTION ONLY"
OF
ESTIMATED SELLING
Indicate number of each type of fixt4re
MECHANICAL
' AIR HANDLING uNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
68Q(FAN(S) HOOD(S) WOOMOVE(S)
t
130111 FIREPLACE INSERT(S) 'RANGE(S) MISC. ( 1
-_ 30ILER(S)
COMPRESSOR(S) FURNACE(S)
DUCr(S) GAS PIPE OUTLEf(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S) URINALS) . WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTtEr(S) SINK(S) WATER CLOSETS) MLSC.
INTERCEPTOR(S) SUMPS)
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 1 � neye f� is made. 1
�� in file
further agree to hold harmless the City of Federal Way as to any claim (Including the undersigned, and filed against the City of
Investigation and defense of such claim), which may be made by any person, Including
its officers and employees, upon t t accuracy
Federal Way, but only where such claim arises out of the reliance of the dty;
of the Information supplied to the city as a part of this applications.
NAME/TITLE:
-5 00DATE: %0
❑ PROPERTY OWNER ❑ APPLICANT CW&ITRACTOR
;F.06F-1%0E4SE ,ONl1f Mir+ 1 w»- Wit`
JAOO�ON N{=�
j ' t%'irr' r� ice. - #fit" i .. x 4 ?,1:0 Li#•'k ti� . r
^.r
GttATION g LDI "Nl'if? C#` 1E5 NO
} ? '❑ BYES ❑ NO
77-❑ YES -0 NO
"t 11 T7 . ❑ :Yt=S ` ❑
PNO :... F(U1H(GE Ot'S�?" : ❑YES = ❑ NO .
COMMUNITY 0EVELOPMENr SERVICES • 33539 FIRST WAY SOUTH • PO BOX 9718 • FEDER& WAY, WA 98063-9718 • 253.661-4000 • FAX: 253.661-4129
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