02-105524Project Name: FOREST COVE
Plumbing Permit #:02 - 105524 - 00 - PL
Project Address: 30928 16TH SW AptA
Project Description: PL - Install hot/cold & waste for stack laundry set
Inspection request line: 253.835.3050
Parcel Number: 122103 9141 )\q09--
Owner
1q09--
Owner
Applicant
City of Federal Way
Forest Cove 388 LLC
Community Development Services
A-1 ELECTRIC & PLUMBING INC (ELECTRI
33530 1st Way S
PO BOX 66965
Federal Way, WA 98003-6210
FEDERAL WAY WA
Ph: 253.661.4000 Fax: 253.661.4129
SEATTLE WA 98166
Project Name: FOREST COVE
Plumbing Permit #:02 - 105524 - 00 - PL
Project Address: 30928 16TH SW AptA
Project Description: PL - Install hot/cold & waste for stack laundry set
Inspection request line: 253.835.3050
Parcel Number: 122103 9141 )\q09--
Owner
1q09--
Owner
Applicant
Contractor
Forest Cove 388 LLC
A-1 ELECTRIC & PLUMBING INC (ELECTRI
A-1 ELECTRIC & PLUMBING INC (ELECTRI
1703 SW 309TH ST.
PO BOX 66965
PO BOX 66965
FEDERAL WAY WA
SEATTLE WA 98166
SEATTLE WA 98166
98023
(206) 431-1991
Plumbing Fixtures
-,.�DescriotYQWQraa i; .
Laundry Washer Outlets 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:
1Z117-1171 effP��l
RECEIVED BY
CO ITY DEVELOPMENT DEPARTMENT
>�I�r L D CONSTRUCTION PERMIT APPLICA`QQ��
OLN
Jf�Y
E C 10 2002, PPLICATION NUMBER: - - p
CATION NUMBER:
CATION
NUM"
ER: —
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
SITE ADDRESS: d.� — 1 �Q1 ASSESSORS TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING +lamle
PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): _ 1E lid V ( 0 n ,(
• i , it
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
4
NAME:
A-�Et t
DAYTIME PHONE:
(ack,)4b i-1991
MAILING AOOMS (STREET ADDRESS; QTY, STATE, ZIP):
EVENING PHONE:
n I / _
QTY OF RMAL WAY BUSINESS UCMW NAMM
FAX NUMBER:
(w l.� 00
�r(nU1CfOR5 REGJSiRAT10N NUMBErC
IMRATION DATE;
OW ofMdMq*eM 1
/ [—T /
m Gl(. f ( ) -
MAIUNG AWNW MMMT Ate; QTY, STATE, IIP): e#VN NG PHONE:
R"TiOlaw lro PROJECT: FAX NUMBOL
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Ut"CONTRACTOR
EXISTING USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $,
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVFN r i array TNF n oo•vwTc rccwwvv %
**NEW pysmENTTAL CONSTRucrioN O •
NUMBEROF BEDROOMS: ESTIMATED SELLING PRICE: ;r
.. FLOOR
r i TI
PROPOSED SQ. FT.
TOTAL. -
BASEMt7YY''
FIRST
P�j ISA O_N
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a -` � �
R l��fESr ' �.FfFlO '
SECOND
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:RANGE1E7YN ,D*RESS IRED3.:.'"�` 0NO_.
SPLA. D.f.O Y3 0 -YE`S ❑ NO "'` CHANGE OF#JSE? =V O YEs 'ONO
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) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) _ HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGES) misc. (
COMPRESSOR(S) FURNACES)
DUCC(S) GAS PIPE OUTLET(S)
HEAT SOURCE: ELECTRIC ❑GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) . WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKERS) •❑ ELECTRIC O GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( 1
INTERCEPTORS) SUMPS)
BLOCK
I aN" 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 autluxized by the owner of the above premises to perforin the wort for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (inducting costs, expenses, and attorneys' fees incurred in the
investigation and defense of such daim), which may be made by any person, including the undersigned, and glad against the City of
Federal Way, but only where such daan arises out of the reliance of the dty; including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAMEJTITLE: /'f _1219 k3 L. i V I
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
r"" o�nccri�a.(icc nurvl:�
DATE: z4 v X
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t 11
1111w4w 00
44
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'.�5�r+:L__TOiNNSHIP"-
. st
:RANGE1E7YN ,D*RESS IRED3.:.'"�` 0NO_.
SPLA. D.f.O Y3 0 -YE`S ❑ NO "'` CHANGE OF#JSE? =V O YEs 'ONO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTM - PO eOX 9718 - FeDam WAY. WA 98063-9718 - 253.661-40W - FAX: 253-661-4129
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