02-105150City Federal Way
Community Development Services Mechanical Permit #: 02 - 105150 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE
Project Address: 30921 16TH1SW AptB Parcel Number: 122103 9006
Pro MECH - (1)
Project P
ect Descri tion:
exhaust fan and venting
Owner
Applicant
Contractor
Forest Cove -388 Llc
A-1 ELECTRIC & PLUMBING INC
A-1 ELECTRIC & PLUMBING INC
1703 SW 309TH ST
PO BOX 66965
PO BOX 66965
FEDERAL WAY WA 980234389
SEATTLE WA 98166
SEATTLE WA 98166
(206) 431-1991
Mechanical Valuation..........................................300
escror� g
Fans 1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES May 17, 2003, 1F 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 described property and
the occupancy and the use will be in accordance with the laws, rules and regulations o etMf '!$ashington and
pplication
the City of Federal Way. See A VV
Owner or agent: Datq' V 1 $ ZC10Z
v-�
/� CITY OF FEDERAL WAY
BUILDING DEPT.
�7
CONSTRUCTION PERMIT APPLICATION
NUMMR:Q a- L Q L.S.0 -
WCATION NUMBER:
ON NIjMBM -
**The following is requi�"IR"ation — Please print (in Ink) or type**
Please note: Electrical, 'teiy[�TIIs and Engineering permits may require a separate application.
SITE ADDRESS: Qa '' low" 1' \Q� � .� ASSESSOR'S TAX/PARCEL #: 1 Ci - 51 L
LEGAL DESCRIPT ION OF SUBIECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PR07EC1r (This application): ❑ BUILDING ❑ PLUMBING [H'MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): f if0 V \ de,1(2,oA-wp, C4S
PROPERTY OWNER:
CONTRACTOR:
APPLICANT.
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DAYTIME Mow -
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MAVMG ADDRESS (STREET ADDRESS: QTY, STATE, ZIP):
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■ PEOPLE
INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT.
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DAYTIME Mow -
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MAVMG ADDRESS (STREET ADDRESS: QTY, STATE, ZIP):
EEVOCIM PHONE
1 10 SCJ
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QTY OF FEDERAL WAY SWUM MUM NUMML
FAX MM'
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❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE); ( )
,�� E-MATLAOORE55:
CONTACT PERSON FOR THIS PR07ECT: ❑ PROPERTY OWNER ❑ APPLICANT L>f"CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE. EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $, 7!�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVFN Fl rcTr_••c TOF Fl oorvwrc fCCr. w—,
ssNE{I{/ 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:*
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL V�
EVAPORATIVE COOLER(S) GAS (S) EFRIG. OV(S)
T
FAN(S) HOOD(S) E(S)
FIREPLACE INSERTS) RANGE(S) MM(
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMPS)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
❑TSCLATMER/SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑-GAS
I certify under penalty of perjury that the information furnished by me is true and aorred 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 to the
investigation and defense of such daim), 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 tfhe accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: �'� f•L (,r DATE II /-5-- 0�-
❑ PROPERTY OWNER ❑ APPLICANT R-=NTRACTOR
rte_.
QOMMUNLTY DEVELOPMENT SERVICE • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 2S3-661-4129
www. ederalway.mm