09-103829e
Plumbing
City of Federal Way A�
Community Development Services 7, t = > Permit #. 09- 103829 -00-PL
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
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Project Name: COVE EAST APT 209
Project Address: 123 S 331ST PL Bldg 2 Parcel Number: 172104 9121
Project Description: Replacing hot water tank
Owner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
COVE EAST APARTMENTS
15455 65TH AVE S
33030 1 STAVES
33030 1 STAVE S
SEATTLE WA
FEDERAL WAY WA
FEDERAL WAY WA
98188 -2534
98003
98003
d y■ 5 z 0
iUb�l� FNxtures�S j aTrrsix4�c3,
>71
Water Heaters .. ............................... 1
I hereW, that the above
�t1,occ 'd the use v
Owner
PERMIT EXPIRES Tuesday, March 30, 2010
er1t 1[ssed a Thursday, October 1, 2009
,information is correct and that the construction on the
4 gp�,j 10/ (0 /041
CITY Of
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO AIN ON -SITE
Construction Ins ection Record
INSPECTION REQUE TS: (253) 835 -3050
09- 103829 -00 -PL Address: 123 S 331ST PL Bldg 2
KING COUNTY HOUSING AUTHOR FEDERAL WAY, 'WA 98003 -6363
6
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 qz
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 qz
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —^
Approved
By
Date
By
Date
By
Date
FGcleral � l —
PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME ELCL DE EN FP
33375 8M AVENUE SOUTH • PO BOX 9718
FEDERAL WAY WA 98063-
253 - 835 -2607• FAX 253-8 35 - -L T 0 t L C � q APPLICATION•
wrttut,ahtofrvletrth�utu e•nrn
The fo4io{tlln iGFgtli 11e DJ `7,§A idf*Ayincomplete application will not be accepted. Please print legibly (in ink) or type.
-PROPERTY •• •
SITE ADDRESS / 2 ,) S 3 / s ILL a 9 CF0,F_4-fd- WIX, AIA 9'8�0 3 SUITE /UNIT # _ Z 0
ASSESSOR'S TAX /PARCEL # / 7 2 1 O '7' - 9 / `� _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
r
PROJECT INFORMATIA-,
TYPE OF PERMIT ❑ BUILDING W11LUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on �)u_1.)ermit only)
/Q E /0J-14 G /.✓ 6- /-/c,7- W 19 7-e of T 4l N K If ov
PROJECT NAME (Name of Business or Owner Last Name) C. p V E C,4_57- A /°r9 X 7-/4 E w7-5
PEOPLE • •i
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
{C 1 IJ (r Go &L N T //o L-tf /9 zt'7-p 6 X T
PRIMARY PHONE
MAILING ADDRESS
/ Th �4vE . S,
CITY, STATE, ZIP
SEq Tt E wfi
E -MAIL ADDRESS
%r,107CX 12, 417-K!,v3'o,^/
(2-S-3 )`)S
-ba zo
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
ONE
MAILING ADDRESS
D
CITY, STATE, ZIP
CELL PH
-
CITY OF FEDERAL WAY INE S ICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( ) -
CONTRACTOR'S REOISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Go vE EAST ,¢STS.
%r,107CX 12, 417-K!,v3'o,^/
(2-S-3 )`)S
-ba zo
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
-33010 1 Sri ✓E . f
P6 E '"'L w,¢ w . `lf�ao3
(2—r3 6 6
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant KAgent
❑ Other
NAME
PRIMARY PI [ONE
E -MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender im formation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATB, ZIP
PHONE
i )
EXISTING USE M ril. ,7- L.¢/'9 r a. y PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUIC OF PROPOSED WORK $.
SPRINKLERED BUILDING? ❑ YES "0 WATER SERVICE PROVIDER We"HAVEN
SEWER SERVICE PROVIDER aKLAKEHAVEN
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES
• HIGHLINE ❑ TAtCOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE iSEPTICI
^f 7l•]
AREA DESCRIPTION
EXISTING
S . FT.
PROPOS
S T.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
CHANGE OF USE?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
o YES ❑ NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o NO m
PLATTED LOT?
o YES ❑ NO
GARAGE ❑ CARPORT ❑
TOTAL axI ivo iar:�k
PROPOSED or
TDTAL Sr
NUMBER OF FLOORS
EffiSTINO
PRO MSED
TOTAL
*'NEW HOME NLY ** NUMBER OF BEDROOIYFS 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 $_2 o o - o o (A CO. Y OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (co -dal)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLL%MING
BATHTUBS (or Tut /Showerco to(
DISHWASHERS
DRINKING FOUNTAINS
_ ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom sh,h.,(
URINALS
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS lrao)
SINK'>
WASHING MACHINES
SUMPS
❑ YES o NO
MISC (Describe)
I cert(fy 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 worts 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 taws.
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 he 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 and /or Authorized Agent
O — /
❑ NEW ❑ ADDITION
a ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
❑ YES
ONO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP /SEPA /SU?
o YES
o NO m
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\HandoutsTermit Application