11-102608City of Federal Way 40
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: COVE EAST APARTMENTS
Project Address: 143 S 331ST PL Apt 708
Project Description: Replace electric water beater.
Plumbing
Permit #: 11- 102609 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
Owner
Aoolicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING
15455 65TH AVE S
33030 1 ST AVE S
15455 65TH AVE S
SEATTLE WA
FEDERAL WAY WA
SEATTLE W 98188
98188 -2534
98003
Water Heaters .. ............................... 1
PERMIT EXPIRES Tuesday, December 27, 2011
Permit Issued on Thursday, June 30, 2011
1 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.bf Washington
and the City of Federal Way.
Owner or agent: —l-r Date:
ciar OF
Federal Way
THIS CARD IS T 'MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 11- 102608 -00 -PL Address: 143 S 331ST PL Apt 708
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA 98003 -6363
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
n
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
KtLCly' ='='
°� °'�" PERMIT
Federal Way J U N 3 0
COMMUNITY DEVELOPMENT SERVICES F A.RMCATION
.835 -26
25307• FAX 2513 -�i�
CDS
iI I () A ooQ
40 MF CO ME (3 DE EN FP
SITE ADDRESS
1'�3 S, 33rf'ri°L X08 F�DEag` rvoly w.'�- �i1e�e�J
SUITE/UNIT it
7pe v413
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL M n
TYPE OF PERMIT
❑ BUILDING Q!rILUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
C„ p V Lc F-- A S % A2 "04 .2 7-/1f
PROJECT DESCRIPTION
R E g G Alp T &V 09 T[r /e 7-,i n/ K ,-� 4/°74,Z' 70
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
k I /✓6�- GO u i✓r No H S r.✓(, �% KTh/oR i7
MAILING ADDRESS
/ yS G�Ty�9'�.S- SE47T� wr9 98 /S8
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
N ii0 -W .S E A-IA,4 iNT N� .✓ c d
21"J -�3j - 6s6 y
MAILING ADDRESS E -KAM
3d 0 �C, /Sf rE f
CONTRACTOR
CITY
F�EoF -'eaz- ,V*
STATE
PV*
ZIP
9r 95 0 03
FAX
X"- 838 -656
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHONE
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
AL ERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
OWNER-FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the irtformation submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I 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 apart of this application.
SIGNATURE: SIGNATURE: < -�� ��_. _--=� DATE G - 3 0 )
PRINT NAME: /Z.
Bulletin # 100 - April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application
a a
Indicate how man y of each o fjlxtu
re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo) LAVS (HsndSink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/ Utility) X_ WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAi, NFo
CRITICAL AREAS ON PROPERTY?
VALUE OF MECHANICAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each t ype of
re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commemim)
BOILERS
FURNACES HOT WATER TANKS (G —)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
Indicate how man y of each o fjlxtu
re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo) LAVS (HsndSink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/ Utility) X_ WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAi, NFo
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
L4KE A14,-6 4)
4-4!cffi HA•rd.J
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
�"+utri- FAM /cr , rs4. %t vb
❑ Yes eNo
❑ Yes w-,No
COIVIlVIERE�A�. ��E� /A�DDI�O)lti ,
AREA DESCRIPTION Ein Area Occupancy Group(s) s Construction # of
uare Feet P Y Pl a Stories Additional Information
NEW BUILDING
ADDITION
Bulletin # 100 - April l4, 2010 Page 2 of 3 k: \Handouts \Permit Application