02-105517City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FOREST CO
Project Address: 30928 16THeg AptA
Project Description: MECH - Install fan and venting
Mechanical Permit #:02 - 105517 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 122103 9141
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
SEATTLE WA 98166
SEATTLE WA 98166
98023
(206) 431-1991
Mechanical Valuation..........................................115 Over the Counter Permit ...................................... No
Mechanical Fixtures
�L?e�cripfon � Qi�t
Fans 1
PERMIT EXPIRES June 8, 2003, IF NO WORK IS STARTED.
Permit issued on December 10, 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 Application
Owner or agent:
Date:
if m e; `q
®�� CONSTRUCTION PERMIT APPUCA-ROK
�y CATION NUMBER: 19— p
CATION NUMBER:
-
"The foNowing Is required infort wSm — Please print (in hdc) or type *
Memel rates Elecdicay Fire Prevention Systems and Engineering permits may require a separate applicatlmu
SITE ADDRESS:Oq ag A �� 4� P 1 1- 1
ASSESSOR'S TAX/PARCEL:
LEGAL DESCRIPTION OF StWECT PRop&wY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PR07ECT (TNs ); O WILDING O PWMUW �g MEC HANICa O DU40LVWM
O ELECTRICAL O ENGINUMWO FIRE PREVENTION SYSTEM
PROXECT DESCRIPTION (Provide &"Red desaip"n): -- �ro� v4& V_
PROPERTYOWNER:
CONTRACTOR:
FWl7W A00FM MRMTAOORW QTY, STAW .
SaAMNSWtO FADJOCr- fAXgIRl9h
O ARCHITECT O TENANT O OTHER (DESCRIBE):
�/ E VA ADORES&
CONTACT PERSON FOR THIS PR07ECT: O PROPERTY OWNER ❑ APPLICANT L KWMRACTWt
EMUNG USE: E>asme BUILDING A /Appy VAWA7ION
PROPOSED USE: PROPOSED VALUATION FOR ZNPRONQENM * t /
SPRINKIERED BUILDva? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: O YES O NO
WATER SERVICE PROVIDER: O LAIEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER. 13 LAKEHAVPNt Tl crura: T P f l oomavc rccr..vo.%
#lfls:.: .
FWl7W A00FM MRMTAOORW QTY, STAW .
SaAMNSWtO FADJOCr- fAXgIRl9h
O ARCHITECT O TENANT O OTHER (DESCRIBE):
�/ E VA ADORES&
CONTACT PERSON FOR THIS PR07ECT: O PROPERTY OWNER ❑ APPLICANT L KWMRACTWt
EMUNG USE: E>asme BUILDING A /Appy VAWA7ION
PROPOSED USE: PROPOSED VALUATION FOR ZNPRONQENM * t /
SPRINKIERED BUILDva? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: O YES O NO
WATER SERVICE PROVIDER: O LAIEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER. 13 LAKEHAVPNt Tl crura: T P f l oomavc rccr..vo.%
11
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDRUOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT' -
.
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
BECK
GARAGE
t{OW MANY FLOORS?
TOTAL. -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) --T— FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) misc.( )
INTERCEPTORS) SUMP(S)
--N _bIS'CLATMER/SIGNATURE •
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 dty; including its officers and employees, upon the accuracy
of the information supplied to the city as apart of this application. Q
NAME/TITLE: �/� n Lip DATE: 0--/ —0
❑ PROPERTY OWNER ❑ APPLICANT AGONTRACTOR
FOR OFFICE=USE ONLY
tADD)TiON . Cl iUTETtATiON R a P,��TENANT OVEMENT:
O�
ES
ESIGNAIIONi3UILpIFL("St1ElDNLf? G1"Y
Inti P_ _ -0, —ES, . ' ;' aBASI -PLv►N? Cl _)(ES ❑ do . z
SECTION _ t _ ,OWN$HIP. RANGE NEIA/YADDRESS TLE, UIRED?. `._ ❑YES ❑ NO
I'PtATTEP,.-�COT? ❑ :YES ❑ NO " CHANGE O.F tISE� , : ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253{661-4129
www Cj" federalway&gni