12-104859City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
KPlumbing
Permit #: 12- 104859 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS BUILDING 3 UNIT 302
Project Address: 127 S 331ST PL Bldg 03
Project Description: Remove /replace electric water heater.
Parcel Number: 172104 9121
Own
ARRlican
Contractor
KC HOUSING AUTHORITY
KC HOUSING AUTHORITY
OWNER IS CONTRACTOR
600 ANDOVER PARK W
600 ANDOVER PARK W
TUKWILA WA 98188
TUKWILA WA 98188
Water Closets .. ............................... 1
PERMIT EXPIRES Monday, April 22, 2013
Permit Issued on Wednesday, October 24, 2012
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: �„��e!�� Date: 1.,o A �41r �.
F1NAQJb POIZ*11700
THIS CARD IS TO REMAIN ON -SITE
CITY OF • x � ►
Federal a Construction In ection Record
y INSPECTION RE UT
Q S. (253) 835 -3050
PERMIT #: 12- 104859 -00 -PL Address: 127 S 331 ST PL Bldg 03
Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003
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] Plumbing Groundwork (4190) Rough Plumbing (4230) Gas Piping (4125) _F Approved to cover Approved 11 Approved to release test
l By Date J l By Date By Date
Final - Plumbing (4075)
Approved
BY Date
Rough Electrical Final Electrical Right of Way
Approved Approved
Approved
By Date By Date
BY Date
CITY Or 1A
Federalwa)RECEIVEP PERMIT
RMIT
COMMwUNwIwTY .c iDtBvoVf fFeLAdOeS Pr aMlwNa-8u r 3. Sm5 E-m 2R6VIC ES ,
#PPLICATION
07E
253- 835 -2 t, 1 220
CITY OF FFI]FRAI WAY
(2- 104g5G[
evMF CO ME PL DE EN FP
SITE ADDRESS CDS
SUITE /UNIT Y
5�3 1 s'-i°Z #3�:� F��E�eR� ,� w 00.3
3p Z
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL N
$ C) 0
i-7 i C)
TYPE OF PERMIT
❑ BUILDING 2- AUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(/Tenant Name /Homeowner Last Name)
n
C— O V E E /Zr S % /7 104 'e- 7-111
R E ro 1 1 C- A"6- loo T w j 7-;r R 7-,4 N K /A.) 4,-7 :*
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
k11V6- Goui✓T A'owStA16- KTye�2i7
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
�f`'✓ �iTy/r} ''�, f_ SF 4TT�!r IV r9-
CITY
STATE
ZIP
NAME
PHONE
N Ho wsE
Zr.)` -0-48- 656'1
MAILING ADDRESS
E-MAIL
CONTRACTOR
3,1 o '?o
CITY STATE
ZIP
FAX
FED�2gL .vg w*
gFjoo3
X" - 836 -6S6s
WA STATE CONTRACTOR'S LICENSE M 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
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
Required value of $S, 000 or more
OWNER- FINANCED
❑
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perfury that 1 am the property owner or authorized agent of the property owner. I certfy that to the best
of my knowledge, the irif'ormation 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
Wormation supplied to the city as apart of this application.
SIGNATURE: - �s�?a�� - —= DATE / Z YA 2-
PRINT NAME: f9 /`r e f /Z. 14 TK i t 1t o .✓
Bulletin # 100 - April 14, 2010 Page 1 of 3 k:\Handouts \Permit Application
a -
Indicate how man o each e o re to be installed or relocated as
y f type of fixture
part of this project. Do not include existing fixtures to remain.
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture
to be installed or relocated as part of this project. Do not include existing ftxtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commercial)
BOILERS
FURNACES HOT WATER TANKS (Gaa)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
Indicate how man o each e o re to be installed or relocated as
y f type of fixture
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub / shower combo)
LAVS (Hand sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /utaity)
X_ WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES _L TOTAL FDnVRES
GENERAL INFORMAVQN'
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
I—AiKE OyprB.d
LOT SIZE (Iu Square Feet)
L.¢KB yA4rGA-�
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
y /1004 �Nb
❑ Yes erNo
❑ Yes WYNo
CO1VIlWIERCIAJ. �PTE"DIT`IOl`
AREA DESCRIPTION Area Occu anc Grou s Construction # of
in 3 ware Feet P Y PI a Stories Additional Information
NEW BUILDINQ
ADDITION
i(17{if7ILI TiRt�•! F A r t•Ai[llt7�ttt. /� t nip c wi.n;7 ......��... r ,
Bulletin #100 -April 14, 2010 Page 2 of 3 k: \Handouts \Permit Application