10-100124} City 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 #204
Project Address: 123 S 331ST PL Apt 204
Project Description: Replace electric hot water tank.
. s Plumbing
s
Permit #: 10- 100124 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
Own r
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING
15455 65TH AVE S
33030 1ST AVE S
15455 65TH AVE S
SEATTLE WA
FEDERAL WAY WA
SEATTLE W 98188
98188 -2534
98003
Water Heaters .. ............................... 1
� "�d qALED
CrrV OF '0:&
Federal Way
• THIS CARD IS TO AIN ON -SITE
Construction Ins ction Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 10- 100124 -00 -PL Address: 123 S 331ST PL Apt 204
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
E
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
E
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RtUIV
u ERMIT
Federal Way JAN 1 2 Zul
MMUNfTY DEVELOPMENT SERVICES ��� I C A T I® N
253 - 835 -26 -86 ®F FEDE��((
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SITE ADDRESS
SUITE /UNIT #
ZONING
ASSESSOR'S TAR /PARCEL #
z y
-7 ? 1 � '7' i7- -�
zS.�bi.A
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING f( PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
19- ,v go 7-C 2 7-,<7A--',- /.IV /4i°7-4-- o
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
y✓isf$ {Gp i H�'"'
��.1�'i
NAME
PRIMARY PHONE
PROPERTY OWNER
JC / ^, 6- C- o w� 7- 4 &t TN v /2
MAILING ADDRESS, CITY, STATE, ZIP
E -MAIL
'y Jg vE..S. sEJfrTLE W
E] CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
/� Hoc�.J� H�JNTGNA -UGC
2S .j Z66 -%3� /
MAILING ADDRESS, CITY, STATE, ZIP
FAX
CONTRACTOR
33o30 /sTJ¢re._v, fEpE✓29c W*Y W,9 Pt7oo
.Zf,7 6?f8 -&
WA STATE CONTRACTOR'S LICEN3 #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAIL
PROJECT FINANCING
NAME
E] OWNER- FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27095)
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 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
information supplied to the city as apart of this application.
SIGNATURE: — DATE
PRINT NAME: SR / 7 d- f /CJ _ y� r .ri.✓,sa i✓
Bulletin # 100 - 4/17/2009 Page 1 of 4 k: \Handouts \Permit Application
f.
GENERAL INFORMATION
MECHANICAL `FIXTUR
Value of Mechanical Work $
A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type of fucture 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 )commercial)
BOILERS
_
FURNACES HOT WATER TANKS )cas)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
PLUMBING
FIXTURES ;
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /shower combo)
LAVS (hand Si.")
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
_ X WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
yOU.o O
/-AK0 N/I,E.✓
4KE H,,tVA5'^/
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes z"No
❑ Yes FT�No
0414 17- i f.4r,. ��. 4'0 K5,1^16-
Area
in Square Feet
Occupancy Group(s) s
p y p()
Construction
Type
RESIDENTIAL
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT............................. - -.. _ . .. ..........- ......- —... -- ........ -
FIRST FLOOR (or Mobile Home) ........ _.- .................. __.____...._...__.__..._........ .... - .............. ... ._._......._..__............. _ ......
SECOND FLOOR ---- __.._. ....._._ ................... ... __._.
COVERED ENTRY - _... . _...
_._.._........... ... _ ........_ . .... ... .... .......
DECK
_.._ ........................_ ......... __ .......... ...................... .__....._.......... .......... _. _._. _.
GARAGE ❑ CARPORT ❑
- _ -- ....__.._.... . ......... _..... _...... ..
OTHER (describe)
Area Totals 6MSTING PROPOSED TOTAL .
*"NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ I # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Stories f
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s) s
p y p()
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin # 100 — 4/17/2009 Page 2 of 4 k: \Handouts\Permit Application