11-104847City of Federal Way Plumbing A A
Community & Econ. Dev. Services 'z ==? Permit #: 1 1 - 104847 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 A;
Ph: (253) 835 -2607 Fax: (253) 835 -2609 ` Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS, BLDG 6, UNIT 612
Project Address: 139 S 331ST PL Bldg 6 Parcel Number: 172104 9121
Project Description: Replacing the electric water heater
caner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
KING COUNTY HOUSING AUTHORITY
KING COUNTY HOUSING AUTHORITY
15455 65TH AVE S
15455 65TH AVE S
15455 65TH AVE S
SEATTLE WA
SEATTLE WA
SEATTLE WA
98188 -2534
98188 -2534
98188 -2534
Water Heaters .. ............................... 1
PERMIT EXPIRES Monday, June 4, 2012
Permit Issued on Wednesday, December 7, 2011
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: - 7
RKWO 1?0/10&111
trrtt OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction I�ection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 11- 104847 -00 -PL Address: 139 S 331ST PL Bldg 6
Project: ' - KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA 98003-061
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.
rl
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
Final - Plumbing (4075)
Approved to cover
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By 14540C Date �2 •/Z ��
FJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CnV of A
Federal Way
coMMUNny DEVELOPMENT SERVICES
253- 835 -2607 FAX 253- 835 -2609
www.dwoffederalwau mm
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MF
REJ� ATION
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CO ME 6 DE EN FP
SITE ADDRESS
F FE1�"yy
SUITE/UNIT N
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39 f`, 33 ► /OL.10.6eJ)S EPeR4i- W-I)f 9 da3
6 Z'
PROJECT VALUATION
$ �s`o. o o
ZONING
AS3E8SOR'3 TAX /P CEL A t
/ -7 z- l o Y-
TYPE OF PERMIT
❑ BUILDING PICUMBING C] MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
C 0 V E E- ,¢ 5 o 10.4 Q 7-141
PROJECT DESCRIPTION
RE �° e., f� Wel T W,01 7� R 'rA7 A/1< JA1 14/°i4 /
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
k , O ocNT
PROPERTY OWNER
MAILING ADDRESS
1 rq f L'iTHA . J. 5- C/ 9 8
E -MAIL
CITY
STATE
ZIP
NAME
1v f%cLSE ti/.���vTt✓.✓.r,�cE
[PHONE
Z-0
MAILING ADDRESSI,
3d 0 3e, /
CONTRACTOR
CITY STATE
FF—pF —A.04- .vr} wt}
ZIP
`i oo3
FAX
ZS7- 830 -6n
-
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY 3TATE 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
a'n
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
0 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 authorised agent of the property owner. I certify 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 Wag 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 taws.
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
Inlformation supplied to the city as a part of this application.
SIGNATURE: -- DATE I /
PRINT NAME: /Z. * 7-X oW,,5 a ..�
Butletin f l UU - April 14, 2010 Pagel of 3 k: \Handouts \Permit Application
a
•
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 /Shoe Combo) LAVS (Handsidcs) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /utility) X _ WATER HEATERS (Elecucic)
HOSE BIBBS SUMPS WASHING MACHINES �_ TOTAL FIXTURES
GENERAL ] NWQRMATI4N'
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L¢KE o.#. -e'✓ LRK6 y4rdiJ
EXISTING /PREVIOUS USE LOT SIZE 11a Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
/"r (tik.T/- FfjMIcJ+ /I�o�srab ❑ Yes K No o Yes "C)
VALUE OFMECSAMCAL WORK $
(a con of bid or estimate must be provided)
Indicate how many of each pe o ure to be installed or relocated as part o this project. Do not include existin ores to remain
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS (Commercial)
BOILERS FURNACES
HOT WATER TANKS (Gas)
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 /Shoe Combo) LAVS (Handsidcs) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /utility) X _ WATER HEATERS (Elecucic)
HOSE BIBBS SUMPS WASHING MACHINES �_ TOTAL FIXTURES
GENERAL ] NWQRMATI4N'
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L¢KE o.#. -e'✓ LRK6 y4rdiJ
EXISTING /PREVIOUS USE LOT SIZE 11a Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
/"r (tik.T/- FfjMIcJ+ /I�o�srab ❑ Yes K No o Yes "C)