09-104394City 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
Project Address: 123 S 331ST PL Apt 210
Project Description: Replacing hot water tank in Apartment 210.
0 Plumbing
Permit #: 09- 104394 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
Owner
A li an
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING AUTHORITY
15455 65TH AVE S
33030 1ST AVE S
15455 65TH AVE S
SEATTLE WA
FEDERAL WAY WA
SEATTLE WA 98188 -2534
98188 -2534
98003
Water Heaters .. ............................... 1
PERMIT EXPIRES Sunday, May 9, 2010
Permit Issued on Tuesday, November 10, 2009
1 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
Owner
GfNMdkD (I Vol
Y-.V OF
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 09- 104394 -00 -PL Address: 123 S 331 ST PL Apt 210
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.
Final - Plumbing (4075)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By
Date
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 OF
Federal ways
COMMUNITY DEVELOPMENT SER IC E
33325 Bret AVENUE SOUTH - PO BOX 9718
FEDERAL WAY, WA 98063 -9718
2S3 -835 -2607• FAX 253- 835 -2609
wruw. rdhlu/Trdernl uut 4. cnm
The following
CEkqERMIT
0-1 - -t Q -�3cf �-
SF MF CO ME ELLVDE EN FP
Nov 0APPLI CATI O N TD /
voty
o an &complete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS /.Z3 s J3 % tT�ot 210 FCpAT:. *A, wrly. W& 9Aad3 SUITE /UNIT # -7, t O
1i J ASSESSOR'S TAX /PARCEL # 1 ? Z 1 O - 9 / LOT SIZE (sj)
LEGAL DESCRIPTION (e.g, Acme Estates, Lot 1
) (Attach scpamte page for lengthy legal desaiptfon)
PROJECT 1 JI
tl
TYPE OF PERMIT ❑ BUILDING W LUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this aermit onlW
- -RE 10r -04 5;ia6-- No T &V /97-6 2 T AN K /ov x/07'_ Z 1 O
PROJECT NAME (Name of Lkisiness or Owner Last Name) C-.0 V E C-4.27- 41°.4 R 7-/17 E AvTS
O' �i
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME 0
PRIMARY PHONE
k 1 IJ 6- C-0 k N T yo Ks /.v6 r4 �c T iC i T I s -
MAILING ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
r`OFFICE PHONE
MAILING ADDRESS
D
CITY, STATE, ZIP
CELL PHONE
-
CITY OF FEDERAL WAY MLFSINFqS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
t 1 -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
0 vE 7
dLING ADDRESS
3 -O.?o j sr'09 ✓E . S,
S 112, fV TTK i iV f 0 A)
-0020
- ?3i
❑ Architect ❑ Tenant jKAgent ❑ Other
X253 )8-3.5 -6 4GS-
NAME PRIMARY PHONE E-MAIL ADDRESS
-- ( ) -
NAME
Per RCW 19.27.095:
Lender f0ormation is required (fprofect value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE M w L- Y 1 F•4/"I f -y PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE 7$ VALUI: OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES R"N'0 FIRE SUPPRESSION SYIITEM PROPOSED /REQUIRED? ❑ YES 04
WATER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER WILAKEHAVEN ❑ HIGHLINE ❑ PWVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EXISTING
S . FT.
PROP OS
S T.
TOTAL
SQ, FT.
FIRST
o ALTERATION
o REPAIR 0. TENANT IMPROVEMENT
SECOND
o YES o NO
BASIC PLAN?
THIRD
o NO #
ZONING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
CHANGE OF USE?
0 YES
0 NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
o YES a NO
UP /SEPA /SU?
GARAGE ❑ CARPORT ❑
TOTAL warrmo or
PROPOSED or
TOTAL Sr
NUMBER OF FLOORS
sxtsTiNO
PRO ?096D
TOTAL
**NEW HOME NLY ** NUMBER OF BEDROOIVS ESTIMATED SELLING PRICE $
f
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 COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Shower co.bo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (13a4voom Sh.ka(
RAINGJATER SYST
SHOWERS
SINK'3
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (comma[c[W)
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS (Touoq
WASHING MACHINES
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 of this permit application is true and correct. I certify that l' will comply with all applicable
City of Federal Way regulations pertaining to the worl(c 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 Ile 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:
� DATE
Property Owner an:d /or Authorized Agent
l (— to — b
q
o NEW 0 ADDITION
o ALTERATION
o REPAIR 0. TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO #
ZONING DESIGNATION
CHANGE OF USE?
0 YES
0 NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
0 YES
ONO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
0 YES
ONO
Bulletin #100 — January 1, 2008 Page 2 of 4 k \HandoutslPermit Application