12-10198311
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
ff Plumbing
Permit #: 12- 101983 -00 -PL
-11 Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS
Project Address: 139 S 331ST PL Apt 609
Project Description: Replace electric water beater
Parcel Number: 172104 9121
Owner
Al2RIican
Contractor
KC HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING
600 ANDOVER PARK W
330301 STAVE S
15455 65TH AVE S
TUKWILA WA 98188
FEDERAL WAY WA
SEATTLE W 98188
98003
Plumbing Flbttures
Water Heaters .. ............................... 1
PERMIT EXPIRES Wednesday, October 31, 2012
Permit Issued on Friday, May 4, 2012
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.
Owner or agent: Date:
4- A-A-- 51611Z
CITY OF
Federal Way
• THIS CARD IS TO IN ON -SITE
Construction Ins ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 101983 -00 -PL Address: 139 S 331ST PL Apt 609
Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
0
Plumbing Groundwork (4190)
Rough Plumbing (4 0)
0
Gas Piping (4 25)
test
Approved to cover
By
Approved
Approved to release
By
Date
By
Date
By
Date
■ Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
El
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
cm or A
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253. 835 -2609
www.citkoffederalway.com
*PERMIT
APPLICA'T`ION
12 _Id (9 &3
*MF CO ME PL DE EN FP
RECEI �t
MAY 0 4 N
SITE ADDRESS CITY OF FELLER
� # 6 07, &4p.-- •Cv t W ,05I iv*. �
L'I� T
�O
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL M
TYPE OF PERMIT
❑ BUILDING GI'PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Flomeoumer Last Name)
C- p V i< ,¢ S i /e Iri •Q 7-111 es W >- s
PROJECT DESCRIPTION
/.la T u0 -9 7--w w R T,4 A/ / A.1
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
k / /V &- ca or,A✓r l(o —S r.✓G Al k, ryo,e e r
MAILING ADDRESS
�r-vs- 6s"ry���.J. s£arru �/9- 9888
E -MAIL
CITY
STATE ZIP
NAME
PHONE
Al
Zr.?
MAILING ADDRESS E -MAIL
3,) 0 3D /!; vE . S
CONTRACTOR
CITY STATE
�D�2r�c ev* y
ZIP
,�8oe,3
FAX
.z." -$3B -1 9*6
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
f
NAME
PRONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
[] OWNER - FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certfy that to the best
Of my knowledge, the information submitted in support of this permit application is true and correct. Y certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. r understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE: < %c ��_� ,_,__.- - DATE `� L/ r j
PRINT NAME: 7,17 /`1 F
Bulletin #1U0 - April 14, 2010 Page I of 3 kAHandoutsTelmit Application
Am
a
-
.*
LAVS (Nana Sink.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
VALUE OF MECHAMCAL WORK $
(a copy of bid or estimate must be prornded)
Indicate how many of each type qffLxture
to be installed or relocated as this Do
SINKS (Kitchen /uta4)
X_ WATER HEATERS (Electric)
part o project. not include existingftxtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial(
BOILERS
FURNACES
HOT WATER TANKS pao
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo(
LAVS (Nana Sink.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /uta4)
X_ WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES �^ TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
L ,r,; /c E ,%pre_ Al
EXISTING /PREVIOUS USE LOT SIZE (In Squaro Feet)
MKkT/��.4M /ty /Yp.s,s ♦.db
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L/¢K� Hl:rdN
EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes 9--No ❑ Yes p-No
FOR OFFICE USE
AREA DESCRIPTION Area Occupancy Grou s Construction # of
in
ft [a Feet P Y Pi a Stories Additional Information 77777777777 '77
NEW'BUILDING
ADDITION
Bulletin #100 —April l4, 2010 Page 2 of 3 k: \HandoutsTermit Application