09-104393+
Applicant
City of Federal Way
KING COUNTY HOUSING AUTHORITY
Community Development Services
KING COUNTY HOUSING AUTHORITY
P.O. Box 9718
33030 1 STAVE S
Federal Way, WA 98063 -9718
SEATTLE WA 98188 -2534
Ph: (253) 835 -2607 Fax: (253) 835 -2609
SEATTLE WA 98188 -2534
Project Name: COVE EAST APARTMENTS
Project Address: 111 S 331ST PL Apt 120
Project Description: Replacing hot water tank in Apartment 120.
0 . Plumbing
Permit #: 09- 104393 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
Owner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING AUTHORITY
15455 65TH AVE S
33030 1 STAVE S
15455 65TH AVE S
SEATTLE WA 98188 -2534
FEDERAL WAY WA
SEATTLE WA 98188 -2534
98003
Water Heaters .. ............................... 1
PERMIT EXPIRES Sunday, May 9, 2010
Permit Issued on Tuesday, November 10, 2009
that the above information is correct and that the construction on the above described property and
and the use will be in ;accordance with the laws, rules and regulations
and the City of Federal Way.
t: -"'' __= Cate
Cr" OF
In I
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO AIN ON -SITE
r ,
Construction Ins ection Record
INSPECTION REQUE TS: (253) 835 -3050
09- 104393 -00 -PL Address: 111 S 331 ST PL Apt 120
KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA
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 (4230)
Final Electrical
Approved
Gas Piping (41 5)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
0 Final - Plumbing (4075)
Approved
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
city or
"
h'O K } /N6- JC
Federal 1nC �
D'
MLING ADDRESS
COMMUNITY E R M I T
DEVELOPMENT
SF MF CO ME EL DE EN FP
33325 8111 AVENUE SOUTH • PO OX 9778
FEDB2iL WAY, FAX 98063 �av a lip p L I C A T I 0 N
253 -835 -2607• FAX 253 -835 -260-260 9
turtrpr.atUa�'tlPrtthtu[q Cure
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The following is r i "�� {nc� plete application will not be accepted. Please print legibly (in inIq or type.
•i • • •
CELL PHONE
M SITE ADDRESS _ i/ l S 3 ���/o i / 1 m /�� 5�� W Jg s8o 0 3 SUITE /UNIT #/ L a
ASSESSOR'S TAX /PARCEL # 1 7 Z 1 0 - �} j -?
LOT SIZE (s]
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
MAILING ADDRESS
(Attach separate page for lengthy legal desaiptlan)
CITY, STATE, ZIP
• • J I
CITY OF FEDERAL WAY INE S LICENSE
--•
TYPE OF PERMIT ❑ BUILDING WfLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on L4ipj,jgawj ontul
CONTRACTOR'S REGISTRATION NUMBER
--A E tot- A4GJA, C, 7" W of 4—Jc i.v r .,07'
/ ZO
PROJECT NAME (Name of Business or Owner Last Name) - C, 0 V Lr E -4,. 3 7- 4,104,f rM E A-17-:S
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
N;AM E
/ N GO 6t N T
h'O K } /N6- JC
PRIMARY PHONE
MLING ADDRESS
CoVE t:.ysT „iPTS.
77-
Y, STATE, ZIP
.4 Tl-E w�9
E -MAIL ADDRESS
-60 z0
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
COMPANY NAME
330 o Sr$vE. f
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
D
CITY, STATE, ZIP
CELL PHONE
-
CITY OF FEDERAL WAY INE S LICENSE
NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION OAT&
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CoVE t:.ysT „iPTS.
orv.7C -f R, ,9TK
(a.r3 ) 9,r
-60 z0
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
330 o Sr$vE. f
C- E ,"r- ✓4, 58oa3
z� -
- ?3
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant KAgent
❑ Other
(2 - 8 3 8
-6 -
NAME PRIMARY PI {ONE E -MAIL ADDRESS
EXISTING USE _Itf..c �T J - .4/'11 -Y PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUIC OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES RIKO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES W-16 te
WATER SERVICE PROVIDER 'LAKEHAVEN O HIGHLINE ❑ T&COMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER WILAKEHAVEN ❑ HIGHLINE ❑ PI29VATE (SEPTICI
PROJECT FLOOR Ait>i;A5 > r
i'} a� }Tfl—r U
AREA DESCRIPTION
EXISTING
S . FT.
PROPOS
S T.
TOTAL
S . FT.
BASEMENT
❑ NO d
ZONING DESIGNATION
FIRST
CHANGE OF USE? 0 YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP /SEPA /SU? o YES
ONO I
THIRD
o YES o NO
DEMO PERMIT REQUIRED? q YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS
�Ka
PROPOSUn
TOTAL
ToTU sxrsrlwoar
raOpostvAt
roreasr
* *NEW HOM NLY ** NUMBER OF BEDROOIVI:S ESTIMATED SELLING PRICE $
Indicate number of each type of'fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 3 o o - o o (A CORY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orTuh /shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAIMVATER SYST
SHOWERS
SINKS
_ SUMI:'S
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commercin)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (rove)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 information submitted in support 4f this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the wor9c 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 Federral Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim,►, which may he 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 apptication.
SIGNATURE:
Owner
It- /o -612
o NEW o ADDITION o ALTERATION o REPAIR a. TENANT IMPROVEMENT }
BUILDING SHELL ONLY?
❑ YES q NO
BASIC PLAN? o, YES
❑ NO d
ZONING DESIGNATION
CHANGE OF USE? 0 YES
a NO
NEW ADDRESS REQUIRED?
DYES ONO
UP /SEPA /SU? o YES
ONO I
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? q YES
ONO s
Bulletin #100 — January 1, 2008 Page 2 of k \HandoutslPennit Application