11-101269• •
City of Federal Way Plumbing
Community Development Services Permit #: 11 - 101269 -00 -P L
P.O. Box 9718
Federal Way, WA 98063 -9718 1"
Ph: (253) 835 -2607 Fax: (253) 835 -2609 „ " Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS
Project Address: 139 S 331ST PL Apt 605 Parcel Number: 172104 9121
Project Description: Replace electric water heater
Owner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING
15455 65TH AVE S
33030 1ST AVE S
15455 65TH AVE S
SEATTLE WA
FEDERAL WAY WA
SEATTLE W 98188
98188 -2534
98003
Water Heaters .. ............................... 1
THIS CARD IS TO MAIN ON -SITE
C" OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 11- 101269 -00 -PL Address: 139 S 331 ST PL Apt 605
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.
E] Final - Plumbing (4075)
Approved
By(),,,,,_., Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
E] Final - Plumbing (4075)
Approved
By(),,,,,_., Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
em or 'A
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253 -835 -2607• FAX 253- 835 -2609
www. ci [rroffederal wa y. mm
SPERMIT
APPLICATION
SF& CO ME EL 12 DE EN FP
RECEIVED
7 �>
SITE ADDRESS
gg.JT�3t7F FEDERAL WAY
SUITE /UNIT * ZONING ASSESSOR'S TAR /PARCEL M CDS
Z-
NAME OF PROJECT
(Tenant or Homeowner Name) C. V 7" I1 107-5
❑ BUILDING X PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
C- A9- c i !v F( o 7-4r 2 7'A4✓ K /n! 1'4,'°7 `-' O
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
i �
o,
roe,
NAME
u
PRIMARY PHONE
PROPERTY OWNER
It TN o /e / 7
-
MAILING ADDRESS, CITY, STATE, ZIP
E -MAIL
fNgvE. S. 71- AC, mg. 9.8 /g
CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
/N NoKJ� /'+.alNTGAl��GE
X3,3 z66 -i.3/ y
MAILING ADDRESS, CITY, STATE, ZIP
FAX
CONTRACTOR
330 0 /sill ✓E..S. -,e w� u7.4980o
Zf) W/O
W/O
WA STATE CONTRACTOR'S LICENS M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER - FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW 19.27.095)
I _
T
I cert(jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certgq that to the
best of my knowledge, the information 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 authorized 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: 7 L DATE
PRINT NAME: .T�9 M- J /p - T.ri.✓fa �%
Bulletin # 100 - 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
GENERAL INFORMATION
MECHANIC
L FYXTCTR -E
Value of Mechanical Work $
VALUE OF EXISTING IMPROVEMENTS
A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type of fixture 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 (com w iaq
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ �j/OO. o o
A, v K0 N/" r E A/
t .4K E H,,q ✓.t n!
EXISTING /PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
0 Yes VNo
0 Yes P No
,,,K" 1 Noar,s iivb
COMMERCIAL lA
NEWD)ITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
NEW BUILDING
ADDITION
Bulletin # 100 — 4/17/2009 Page 2 of 4 k: \Handouts \Permit Application