12-105587City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
F Plumbing
Permit #: 12- 105587 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS UNIT 309
Project Address: 127 S 331ST PL Bldg 03 Parcel Number: 172104 9121
Project Description: Replacing hot water tank in Apartment 309.
Owner
AApplican
Contractor
KC HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING AUTHORITY
600 ANDOVER PARK W
330301ST AVE S
15455 65TH AVE S
TUKWILA WA 98188
FEDERAL WAY WA 98003
SEATTLE WA 98188 -2534
Water Heaters .. ............................... 1
PERMIT EXPIRES Wednesday, June 12, 2013
Permit Issued on Friday, December 14, 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:
-PJN4�ku4e('%� lro&//&
CITY OF 40&'
Federal Way
THIS CARD IS TO 7ection ON -SITE
Construction In Record
INS PECTION REQUE 3) 835 -3050
PERMIT #: 12- 105587 -00 -PL Address: 127 S 331ST 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.
0
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date /Z I /Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date
ur °f A 1 0 PERMIT
Federal Wa�EIV E
COMMU3S -260 VE 253-T S WPPLICATION
253- 835 -2607• FAX 253 - 835 -2609
www.cit!offederalwau.com [ 2912
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MF CO ME PL DE EN FP
SITE ADDRESS CI,Y OF FED tf 1 S (f
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SUI TEMNIT i
3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /P CEL M
$ Aso. 0 a
i-7 2- o Y- 9 i 2 t
TYPE OF PERMIT
❑ BUILDING 21 rLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
c- p V E E fi S% 4 1124 -%- 7-l'i E w r- f
PROJECT DESCRIPTION
�6- Ko T W,09 7"¢ le T-4 AJ t< l.v 4/°7;#
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
�1N� cvuN7 /{oKS�.✓G /¢KTL/dRi7
MAILING ADDRESS
! 5i,s- GtTy� �'�, J. S,E 4TT�• -!`' w �9° 9 8 ip g
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
N Ho cLSE
MAILING ADDRESS E-MAIL
3 d° 3° ! s f rE -.
CONTRACTOR
CITY STATE
Ft<D��eq� V w4-
ZIP
g80C'
FAX
2157 -838 -696 S_
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
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
Required value of $5, 000 or more
NAME
OWNER - FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim/, which may be made by any person, including the undersigned, and jlled against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of thapplication.
SIGNATURE: 7 �r� L,�� ! DATE 1 2, 1, Z
PRINT NAME. Tai � .s /?-. * -X iNf o ...,
Bulletin # 100 - April 14, 2010 Pagel of 3 k:\Handouts\Pennit Application
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:�l W '.ky, } i '�4 J \bJ�4"t�t�4
VALUE OF MECHAMCAL WORK r$
(a copy of bid or estimate must be protrided/
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS Icommemiaq
BOILERS
FURNACES
HOT WATER TANKS (G—)
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) LAYS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /utmty) �X WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES �_ TOTAL FACTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet)
r'ittirr�- FAMicy Ii�o�s /mob
FOR OFFICE USE
AREA D ESCRIPTION Area Construction # of
In S Aare Fe et Occu anc Group(s) � s a Stories Additional Information
NEW BUILDING
�r
ADDITION
Bulletin # 100 - April 14, 2010
Page 2 of 3
k: \Handouts \Permit Application