12-102425Plumping
City of Federal Way Permit #: 12-102425-00-PL
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 a
Project Name: COVE EAST APARTMENTS - BLDG 2 UNIT 202
Project Address: 123 S 331ST PL Bldg 02 Parcel Number: 172104 9121
Project Description: Remove /replace water heater
Plumbing Fixtures
Water Closets .. ............................... 1
PERMIT EXPIRES Tuesday, November 27, 2012
Permit Issued on Thursday, May 31, 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: 3 / Z
Fr nAu,d� v /r�/iL
Owner
A1212lican
Contractor
KC HOUSING AUTHORITY
KC HOUSING AUTHORITY
KC HOUSING AUTHORITY
600 ANDOVER PARK W
600 ANDOVER PARK W
600 ANDOVER PARK W
TUKWILA WA 98188
TUKWILA WA 98188
TUKWILA WA 98188
Plumbing Fixtures
Water Closets .. ............................... 1
PERMIT EXPIRES Tuesday, November 27, 2012
Permit Issued on Thursday, May 31, 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: 3 / Z
Fr nAu,d� v /r�/iL
CITY OF
Federal Way
r
THIS CARD IS TO IN ON -SITE
Construction In rection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 102425 -00 -PL Address: 123 S 331ST PL Bldg 02
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
El
as Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ClQera RECEIVEO& PERMIT
Federal Way
COMMUMTY D
25 0• EFLAOX P M5T 3 S5 2R,1
W 31 zo iAP P L I CATI O N
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CITY OF FEDERAL WAY
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12 - l 0_2_ -_ 2,S-
40 MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/ UNIT N
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PROJECT VALUATION
$ �sro,0D
ZONING
ASSESSOR'S TAX /PARCEL 8
1 -7 2- 1 o Y- L7� l 2
TYPE OF PERMIT
❑ BUILDING 2- AUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
C- o V E E <i S i 4 10.4
PROJECT DESCRIPTION
R E ro gg C- —6- Alo T W i5► 7"k' ie T".4 Al K /,IV q, 7:*# Z p
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
k �„ co �cNT {/ o H S i.✓(� si �t ryo,e ,
PRIMARY PHONE
MAILING ADDRESS
/ S'S/ G rTN ,,e- 1. SF 4TT at1 •�i 9 8 /�
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
N Ho 1Lf fE
2j) _8j 67_
MAILING ADDRESS E-MAIL
3 J o J C>
CONTRACTOR
CITY
FEaE.eAt- -V
STATE
wt}
ZIP
gF�oo3
FAX
21sy- 83B -(S6
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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 NAM &:
PHONE
E -MAIL
PROJECT FINANCING
Required value of $5, DOO or more
NAME
C] OWNER- FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 29.27095)
I certify under penalty of perjury that I am the property owner or authorised 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 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 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
irformation supplied to the city as apart of this application.
SIGNATURE., DATE S %
PRINT NAME:T9 rr f 2 . t� T/� i.✓ f o ..�
Bulletin #100 —April 14, 2010 Pagel of 3 k:\Handouts \Permit Application
! 0
VALUE OF MECHAMICAL WORK a (a copy of bid or estimate must be provided)
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 (eommereial)
BOILERS FURNACES HOT WATER TANKS (call
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 Tub /Showercombo( LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/ Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES __L TOTAL FIXTURE8
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXI8TINO IMPROVEMENTS
EXISTING/ PREVIOUS USE
LOT SIZE (In Squue Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
'''wr.ri-F,oM/cy /to"5
❑ Yes r--No
❑ Yes r�-Vo
(; OlVIMERCLA � NEVAIDDMON
AREA DESCRIPTION Area Occupancy Group(s) I s
Construction # of
is Square Feet a Stor Additional Information
NEW BUILDING
ADDITION
Bulletin # 100 - April 14, 2010 Page 2 of 3 k: \Handouts \Permit Application