12-103435City of Federal Way
Community & Econ. Dev. Se
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbing
Permit #: 12-103435-00-PL
Inspection Request Line: (253) 835 -3050
Z so 5
Project Name: COVE EAST APARTMENTS BLDG MVNIT 002—
Project Address: 123 S 331ST PL UNIT 205
Project Description: Remove /replace water heater
Parcel Number: 172104 9121 .
Owner
ARRIIcan t
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 Monday, January 21, 2013
Permit Issued on Wednesday, July 25, 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: 7
2f /Z
a/t& /tL
CITY OF VA;hll
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inrleci ion Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 103435 -00 -PL Address: 123 S 331ST PL UNIT 205
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.
❑
Plumbing Groundwork (4 90)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
I
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
Date _ —Z6" V
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of 4�
Federal WWCEIVEDOPERMIT
COMMNTY DEVLOPMENT SERVICES
FAX 60E3 3253woffeder Iw J APPLICATION
c0JUL 2.r `012
CITY OF FEDERAL WAY
12 -(0 �4-�
MF CO ME 0 DE EN FP
SITE ADDRESS S
SUITE /UNIT M
12-3 5 s 3 3 i s t/0I vS pj_tAW i- .,a .4 y uJft. 9 S
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL M
$ Aso. C) 6
1 -7 z
TYPE OF PERMIT
❑ BUILDING R'PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
G p V 6 E L4 S % 4 104 -f- 7-111'1 4!5� W r- f
R ro � g ��' Ala T W,-? 7-;r -f 7-,q A/ K /,v 4,107-*� Z r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
k i N 6 co u.✓T <J o H S i.✓(� �c Tyo.e i
PRIMARY PHONE
MAILING ADDRESS -
/LY of Tyi'¢rte,!_ SE4TTcF r9 gB /$8
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
N 1149 cLSE y�iwrEN•s,>c d
2J_
MAILING ADDRESS Ir-MAIL
sr
CONTRACTOR
.33 o ? D / rE . ,S';
CITY
STATE
ZIP
FAX
FED�2A� rt*
°tSoo3
250- 8340 - 696,x—
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
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
NAME
Required value of $5,000 or more
OWNER - FINANCED
(RCW ]9.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certfy 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 a part of this application.
SIGNATURE: i�� - -._� = DATE 2
PRINT NAME Tom% M t /Z . ,� T/c i.✓t o .✓
Bulletin # 100 - April 14, 2010 Pagel of 3 k:\Handouts \Permit Application
a 0
VALUE OF MECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of
ure to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (ontnmemiat)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
y f type o re to be installed or relocated as part of this project. _ ting fixtures to re
Indicate how man o each of fixture Do not include exis main.
BATHTUBS (or Tub / Shower combo) LAVS (HandSinnks) 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 FIXTURES
GENERAL I FO T ors
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXI8TIN6 /PREVIOUS USE
L4KE yq.-E
LOT SIZE tIn Squue Feet)
L.gscB H .*rd.v
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
cy iye 44
❑ Yes e No
❑ Yes p^o
UOM1VI nCML- ,Ngw /ADITI''FION
DESCRIPTION Area Occupancy Group(s) s Construction # of
AREA D P Y P1 1 Type Stories Additional Information
in ware Feet
NEW BUILDING
ADDITION
v�I.iirre;ic� it us: �L` lytrcll# i %4174
I" �ME'IZH3Y�VI�T�A �
Bulletin # 100 — April 14, 2010 Page 2 of 3 k: \Handouts \Permit Application