12-105053a a `Plumbing
City of Federal way Permit #: 12- 105053 -00 -P L
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: COVE EAST APARTMENTS BUII,DING 3 UNIT 305
Project Address: 127 S 331ST PL Bldg 03 Parcel Number: 172104 9121
Project Description: Remove /replace electric water heater.
Owner
Api2lican
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 Sunday, May 5, 2013
Permit Issued on Tuesday, November 6, 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: ���— Date: 7/ Z
crry of _ THIS CARD IS TO MAIN ON- SITE r
Federal Way Construction In ection Record
y INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 105053 -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.
❑
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
as Piping (4125)
0
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
0 Final - Plumbing (4075)
Approved
G� Date I l — r7_
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
ary or 'A
Fe
Federal WayRECEIVE9 PERMIT
C . DEVELOPMENT uSERVIC
253 -83S -2607 FAX 253-8 3. 5 -2609N (� V 0 6 Z
P P L I C A T I O N
wwwtit uo• fderalwa
mm
CITY OF FEDERAL WAY
IZ_ 10 S0S�
MF CO ME PL DE EN FP
SITE ADDRESS C05
SUITE /UNIT if
i z 7 s. 3 3; s= f L 4d 30 F E.e I- r v OF y 9 A 0 0 3
,3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /P CEL�Y
$ C' o
i 7 z! o Y- 9 r z
TYPE OF PERMIT
❑ BUILDING 2'PLUM33ING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
Co V E E A S % /,57 104 -R- 7-1 r- .r
PROJECT DESCRIPTION
R E ro L Ft C- " —` W p T w H T-Ar le 7-,o9 N l< IA.,) lq,- :�*
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
`C�NG- Gpu.NT �%ow,t/n/(� /%KTL/oRiT
MAILING ADDRESS
/j-`S/J
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
AJ /lo w.s E
Z.0
MAILING ADDRESS
_3J o '? o / Sf vE S.
E -MAIL
CONTRACTOR
CITY STATE
FJ50E244 .V*
ZIP
gSoo3
FAX
Z"- 838 -196
WA STATE CONTRACTOR'S LICENSE 0 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
OWNER- FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I c ert(fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
tgformation supplied to the city as a part of this application.
SIGNATURE: - - '�T�� - -�° DATE 2
PRINT NAME: TK IA.-.$'0 ../
Bulletin #100 -April 14, 2010 Pagel of 3 k:\Handouts\Permit Application
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VALUE OFMECHAMCAL WORK .$ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part 2f this project. Do not include existing fixtures to remain
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS (Commercial)
BOILERS FURNACES
HOT WATER TANKS (can)
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 Tab /Shower Combo) LAVS (Hand sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /Utility) WATER HEATERS (Etectrio)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
I GENERALF�FF�,TIbN .:.
CRITICAL ARRAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L,e1KE yyr�nt Li¢!eB H�rd.J
EXISTING/ PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
'y ❑ Yes e'-No ❑ Yes U�No
FOR OFFICE USE
AREA DESCRIPTION Area Occupancy Group(s) s Construction # of
in Square Feet P Y P� a stories Additional Information
NEW BUILDING
ADDITION
Bulletin # 100 - April 14, 2010 Page 2 of 3 k: \Handouts \Permit Application