02-104396City of Federal Way
CO-Munity Development Services
33530 i st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Plumbing Permit #:02 -104396 - 00 - PL
Inspection request line: 253.835.3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30910 16TH SW UnitB Parcel Number: 122103 9141
Project Description: PLUMB - Provide hot/cold & waste as required for new stack laundry set.
Owner
Applicant
Contractor
FOREST COVE -388 LLC *Cove -388 Lie Foresi
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 ar.d
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.
Owner or agent: See Application _ Date: 10
�•« CONSTRUCTION PERMIT APPLICATION
®t�1ZRL RECEIVED BY
FiY COMMUMTY DEVELOPMENT DEPARTMENT CATION NUhlBER:
0 7 2002
OCT �cCAnoN NUMBM: -
Aw
**The following is requinw information — Please point dh ink) or type**
Please note: Electri P e onp `ysE ns a &Vinuring permits may require a separate appiketion.
PROPERTY INFORMATION'.
SITE ADDRESS: I O 1 lU P 1. ASSESSOR'S TAX/PARCEL #.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT``/INFORMATION
TYPE OF PROJECT (This applications ❑ BUILDING w LUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desaipdon):
z /. V 1
■ ..PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
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tom:
AA ae c . Rulrvt
oAynw
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NAIUNG ADDRESS (STREET ADNE5$ a Y, STATE, ZIP): �'
EVENING Plow: r 1
QTY OF FEIERAL WAY RMNEW LICENSE Wam,
1 - L LZ -1 -O o
FAX NUMBER:
(6m)a4G -OT7
GONTRAMR'S REf�TROM NUMBER:
aw ! °N i m 1-1/0-3
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❑ ARCHNECT ❑ TENANT ❑ OTHER ( OESCRI84 ( (
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ap6NTRACTOR
EXISTING U*:
■ DETAILED BUILDING INFORMATION ON,
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
.PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLEREO BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
CFV1/Ko CFRVTr1: PRnVTnFR• no AKFHAVFN n ••TENT TNF n PRTVATF /c-FPTT('1
•*styE{f[ RE
SIOENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
Indicate number of each type of frxtelre
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) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCr(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)
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 (Sty 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.• �n'� DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY D[VELOPMENT SERVICES • 33530 FIRST WAY SOUTH . PO BOX 9718 - FEDERAL WAY, WA 98063 9718 • 253661-4000 - FAX: 253-661-4129
www.citvoffeeeratw YSM