02-104405City of Federal Way
Commmnity Development Services
31,530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 02 -104405 - 00 - ME
Project Name: FOREST COVE APARTMENTS
Project Address: 3093816TH SW UnitB
Project Description: MEC - Provide 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
Description =Quant
Fans 1
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.
Owner or agent: See AUDl;cation Date:
�« CONSTRUCTION PERMIT APPLICATION
F--�0�:� couvu - ' DEE MVEr NST DEPARTM PUCA�ON NUMBER: - 0
E3Y
PIiCATION NUMBER:
OCT 0 7 2002. Puca-Roty NuMBER: -
**The following is requir0d informatiorl —Please print (6 ink) or"**
M
Please note: Electrical, Fire Prevention Systems and"tirftring permits may require a separate application.
17P(('�� ii•.• •-
SITE ADDRESS -39 L� e I.CJ ASSESSOR'S TAX/PARCEL #:
JC2
LEGAL DESCRIPTION OF SUBJECT.PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING O PLUMBING RMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION
1 ■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME:
A U-000
DAYTIME PHONE:
( - t 9 I'
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: - I
CITY OF FEDERAL WAY BUSINESS LICENSE NLNI `` j s�
0 1 - L 5 ! - O O
— —
FAX NUMBER:: I //��/ ,,.��
(� )(94.6 -�•� 7
CONTRACTORS REGISTRATION NUMBER:
_1 KI
EXPIRATION DATE:
/ 117/ 031
1MRo(�
APPLICANT: NAMME,DAYTIME PHONE:
S %
NAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX IRJMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
,,��,,�� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT I�YCONTRACTOR
WDETAILED BUILDING INFORMA*ION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ I!
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
GFWFO CFRVTf F PRnVTnFR• n I AKFNAVFN I-1 wram TNF rl PRTVATF fGFPTTr%
**NEW oeNTIAL CONSTRUCTION ONLY"
SELLING PRICE:
Indicate number of each type of fixtYre
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOOWTOVE(S)
—'—"-� BOILER(S) FIREPLACE INSERT(S) 'RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ELECTRIC C1 GAS
DUCTS) GAS PIPE OUTLET(S)
PLUMBING
BATHTUBS) LAVATORY(S) URINWS) WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) D ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS) MISC. ( 1
INTERCEPTORS) SUMP(S)
I certify under penalty of Pedury that the information f nTfshed 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 t ep application i neW few Incurred;n I�
further agree to hold harmless the Qty of Federal Way as to any claim (inclIncluding t ureses, and , and filed against the Qty of
Investigation and defense of such claim), which may be made by any person,
Federa(Way, but only where such claim arises out oft reliance of the city; including its offwems and employees, upon the accuracy
of the information supplied to the cityas a part of this application.
LE:
NAME/TITtitn (" !� 0 DATE: `® r
D PROPERTY OWNER ❑ APPLICANT 017001TRAC17OR
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TOV{/NSHIP R/U!IGL NE'lllii+%IDOR O? DYES Q NO:
"P_.LATTEDT7 . O Yes` 11 NO t;HANGE OF3iSET? OYES irtb .
oomuNrTY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUM • PO BOX 9718 • FEDERAL WAY, WA 98063.9718. 253-661-4000 • FAX: 253.661-4129
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