02-105141City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FOREST COVE
Project Address: 3091416TH,SW AptA
Project Description: MECH - (1) exhaust fan and venting
Mechanical Permit #: 02 -105141 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 122103 9141
Owner
Applicant
Contractor
FOREST COVE -388 LLC'Cove-388 Llc Foresl
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..........................................300
�iSCfl[3t10I1
Fans
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES May 17, 2003, IF NO WORK IS STARTED.
Permit issued on November 18, 2002
I hereby certify that the above information is correct and that the construction on the above descri�e� prep and
the occupancy and the use will be in accordance with the laws, rules and regulations of Q& – 1 on and
the City of Federal Way.
Owner or agent:
See Application Date: NOV
2i2- — 0`Z P-0 tx y Vl/ 7fprA 1�' N" SIT BUILDING DEPT
W�Y
�V� aw
°p'°' CONSTRUCTION PERMIT APPLICATION
N a v CATION NUMBM-
*The foil*i ft Uft e� fi"v"tkm — Please Priest (M ink) of type**
Please notes 8
ecbic4 Rre Prevention Systems and Engineering Permits may require a separate application.
SITE ADDRESS: 3C91LI f "' I (oAli P�gC�n ASSESSORIS TAXIPARCEL, #_
LEGAL DESCRIPTION OF SUB3ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
r � ■ r c ■ i Ir -♦ t ■ r,� � �
■ a ■ nr a i c■
PRo7ECT DoxRwTION (Provide detailed desaipt;on):. f Yo V \ d e, _ \Jen-Vt j -,A S
PROPERTY OWNER;
CONTRACTOR:
■ PEOPLE INFORMATION
NAI■"
A-1
(� 1' -;199 +
KgLm ADDRESS CSTRW ADDRESS; C", STATE, IIP):
6k
EVENING PONE;
( ) -
CiIY aP FEDFRJIL WAY ■ASY43S LICENSE
FIXNufam,
-
/� M
004, ) oM - 4r(..0 17
CDNiRAC"WS R G SMMU
1 EMRATBDN DAM
k O ARCHITECT 0 TENANT 0 OTHER (DES Xnft.
CONTACT PERSON FOR THIS PR03ECT: 0 PROPERTY OWNER 0 APPLICANT U'NNIRACTOtt
:31 A i
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
DQSIING BUILDING ASSESSED/APPRAISED VALW►TION $
PROPOSED VALUATION FOR $ Soo
SPRIHKLBtED BUILDING? 0 YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
FIRE 9 PPREW IDN SYSTEM PROP05ED/REQUIRM 0 YES
0 LAKEHAVEN 0 HIGHLINE 0 TACOMA
0 PRIVATE (WELL)
0 EAKEHAvFN n MCM TNF n Don,AVC .ce..rr, V%
0 NO
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING . FT.
PROPOSED . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL"
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BBQ(S) __T__ FAN(S)
BOILERS) FIREPLACEINSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S) LAVATORY(S)
DISHWASHER(S) RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTOR(S) SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC 0 -GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. (
7TSCLATMER/SIGNATURE BLC
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 the permit application is made. 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 of
Federal Way, 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.
�� �//—/ S' U 2'
NAME/TITLE:0
❑ PROPERTY OWNER ❑ APPLICANT UT16ONTRACTOR
MY�
COMMM DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 2S3-661-4129