09-102543City of Federal Way
.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 - UNIT 704
Project Address: 143 S 331ST PL
Project Description: Replace hot water tank
0 Plunibi ' g
Permit #: 09- 102543 -00 -P
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
caner A
Applicant C
Contractor
KING COUNTY HOUSING AUTHORITY C
COVE EAST APARTMENTS K
KING COUNTY HOUSING
15455 65TH AVE S 3
33030 1 STAVE S 1
15455 65TH AVE S
SEATTLE WA F
FEDERAL WAY WA S
SEATTLE W 98188
98188 -2534 9
98003
Who
Water Heaters .. ............................... 1
PERMIT EXPIRES Sunday, January 3, 2010
Permit Issued on Tuesday, July 7, 2009
1 hereby certify that the above information is correct and that the construction on the abc
the occuoancv!and the use will be in accordance, with the laws, rules and regulations of
Owner
FrNAtl,r-C */(?/CP9
and
ri
THIS CARD IS TO MAIN ON -SITE
CsYOF Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 09- 102543 -00 -PL Address: 143 S 331 ST PL
Owner: 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.
❑
Plumbing Groundwork (4190)
Rough Plumbing (4230)
0
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By
Date
By
Date
By
Date
❑ Final - Plumbing (4075)
Approved
By G (_,, Date 7.1,7,0
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved AWoM
By Date By Date
CITY OF
Federal W.
•
�
PERMIT
CDMMUN17Y DEVELDPME 0. p L C AT I O 33325 AVENUE - 9 9718
FEDERAL WAY, WA 98063 -971 8
253 - 835 -2607 FAX 253- 835 -2609
wunit.ct n Cllf. /YlhtlfltLCU /II JUL 0 7 2pa
-67_,0 z5-1
SF MF CO ME EL &E EN FP
TO
- an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS–/-13 3 3 J 16L # 70 `f SUITE /UNIT # 70 N
ASSESSOR'S TAX /PARCEL # L-7 ?- ) 0 - 9 / :Z- LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal des riptlani
I
PROJECT •• JI
TYPE OF PERMIT ❑ BUILDING (9 LUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on t is permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) G 0 y f C,4 S T t4 /°e R 7-^1 E �vTS
--M-PEOPLE INFORMATI •
PROPERTY
OWNER
CONTRACTOR
0
APPLICANT
PROJECT
CONTACT
LENDER
NAME
CIO &t,- %r`0KJ /.v6- R&t T /T
PRIMARY PHONE
) `
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CELL PHONE
z3- Z - 73
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant YAgent ❑ Other
FAX NUMBER
(25.3 ) 8 38 -6 c
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS 0
CITY, STATE, ZIP
CELL PHONE _
CITY OF FEDERAL WAY INE S CENSE NUMBER
EXPIRATION DATE
FAX NUMBER
) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
C-0 V6 E.9f7 -;f /17-5.
APPLICANT NAME
,7W --7r-.s 12, 0f7- x „vS0AJ
OFFICE PHONE
MAILING ADDRESS
33 a o
CITY, STATE, ZIP
.3
CELL PHONE
z3- Z - 73
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant YAgent ❑ Other
FAX NUMBER
(25.3 ) 8 38 -6 c
NAME
PRIMARY PHONE
E -MAIL ADDRESS
NAME
Per RCW ,I 9.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE !l T Lei ! i .- y PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES v t0
WATER. SERVICE PROVIDER AKEHAVEN
SEWER SERVICE PROVIDER WILAKEHAVEN
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES W'NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PWVATE (SEPTIC{
t
AREA DESCRIPTION
EXISTING
S . FT.
7PROPOS
S . T.
TOTAL
S . FT.
BASEMENT
FIRST
a YES ONO
BASIC PLAN?
SECOND
Ii NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES a NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
m
ONO i
PLATTED LOT?
❑ YES o NO
GARAGE ❑ CARPORT ❑
TOTAtrSasTIN08r
PROMS or
",it sr
NUMBER OF FLOORS
r sTaNa
PRO'b09ED
TOTAL
" *NEW HOME NLY ** NUMBER OF BEDROOMS 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 CO"Y OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub /Shower combo)
_ DISHWASHERS
DRINKING FOUNTAINS
X_ ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom sh*.)
RAINCVATER SYST
SH0IVERS
SINK '3
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commerdal)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Tonoq
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 cerWy that to the best of any
knowledge, the information submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the worlc 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 lie 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:
TV, 12-'7 -o
a NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES ONO
BASIC PLAN?
[].YES
Ii NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES
m
ONO i
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
❑YES
❑ NO
Bulletin #100 - January 1, 2008
Page 2 of 4
k\IIandout0enuit Application