02-104403•
r City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Plumbing Permit #:02 - 104403 - 00 - PL
Inspection request line: 253.835.3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30938 16TH SW UnitB Parcel Number: 122103 9141
Project Description: PLUMB - Proved hot/cold & waste as required for new stack laundry set
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
Plumbing Fixtures
Laundry Washer Outlets 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. 0
Owner or agent:
See Application
Date:
�« CO"Wr ypEEEE�PM� a DEPARTMENT CONSTRUCTION PERMIT APPLICATION
PUCATION NUMBER: 6 - -
MWOCT 0 7 2002 CATION NUMBER:
- - _
OLIGATION NUMBER: - -
"The ifolCbviHnis sllquie?elduatiod —Please paint (6ink) br type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
]PROPERTY INFORMATION:
SITE ADDRESS: 509 5 O B 141, ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•. C— I/ •-
MATION
TYPE OF PROJECT (This application): ❑ BUILDING 11Y1PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
:PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME:
AA E.f�ic. Plunn
DAYTIME PHONE:
(cZW - t 9 i
MAILING ADDRESS (STREET ADORE$5: QTY. $TATE, ZIP):�
� 1 6P
I NTNG PHONE: - I
CITY OF FEDERAL WAY BUSINESS LICENSE NUM
Q 1- - -10a
L Z-1 - 00
- -
FAX NUMBER:
0060416 -OM7
CONTRACTORS REGISTRATN)I/ MASSER:
`� )5l
EXPIRATION DATE:
(m vof C" moo)
DAYnME PL+
(
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
,,,,,,�� E•MAII ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT UYCONTRACTOR//��
VETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
.PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
c.FVUFo CFDVTf F PRnvtnFR• n 1 AKFIIAVFN (-1 MM041 TNF I1 PRTVATF f-qFPTTrl
s*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR EXISTING -
PROPOSED SQ. FT.
TOTAL
BASEMENT -
DATE: _ 112,9,3
FIRST
❑ APPLICANT
LYCONTRACTOR
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW 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) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ELECTRIC ❑GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
OISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. f )
INTERCEPTORS) SUMP(S)
BLOCK:
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 daim (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.
NAME/TITLE: �1QrLG�L���/7�LAJ�(
�d
DATE: _ 112,9,3
❑ PROPERTY OWNER
❑ APPLICANT
LYCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063.9718 - 253-661-4000 - FAX: 253-661-9129
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