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12-105456F • City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 0 F t�. Project Name: COVE EAST APARTMENTS UNIT 110 Project Address: 111 S 331ST PL Bldg 01 Project Description: Replacing hot water tank in Apartment 110. al I r Plumbing Permit #: 12- 105456 -00 -PL Inspection Request Line: (253) 835 -3050 Parcel Number: 172104 9121 Owner A2RIlcan Contractor KC HOUSING AUTHORITY COVE EAST APARTMENTS KING COUNTY HOUSING AUTHORITY 600 ANDOVER PARK W 330301ST AVE S 15455 65TH AVE S TUKWILA WA 98188 FEDERAL WAY WA SEATTLE WA 98188 -2534 98003 Water Heaters .. ............................... 1 PERMIT EXPIRES Monday, June 3, 2013 Permit Issued on Wednesday, December 5, 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: � —T r'lwuibo tz14/�y CITY OF Federal Way • THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQUE TS: (253) 835 -3050 PERMIT #: 12- 105456 -00 -PL Address: 111 S 331 ST PL Bldg 01 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) E] 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 ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY or A ECEI Federal Way R PE RM IT MF CO ME 0 DE EN FP COMMUNITY DEVELOPMENT SERVICES U L ` 253 w2607 FX 2153 a 835 -2609 APPLICATION . cttt'ojfederaw- u. cvm CITY OF FEDERAL WAY rnq SITE ADDRESS SUITE /UNIT N � i s . 3 3 >• s' /�L ,� I � a ;- E DE ie�-c �� y w � S B oa.3 , o PROJECT VALUATION ZO ING ASSESSOR'S TAX /PARCEL 8 $ -7 o - 9� r TYPE OF PERMIT ❑ BUILDING 2- PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Namel Homeowner Last Name) C— p V E E 4 5% 4 /0 .4 -e 7'/I.1 4� W T- f l�E ro <g c.i "�G Wa T W 197 -'le %.4 N% IN �91°i-� PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME k „-6-- /?K,7-yrooQ,7- PRIMARY PHONE MAILING ADDRESS E -MAIL SE 477-1_ „v19- 925 1g 6 CITY STATE ZD' NAME PHONE N Ma cLS E tir l c 4C 2s) MAILING ADDRESS IF-MALL CONTRACTOR 3.; CITY STATE ZIP FAX GEo�2q� rV ws>z g8DO3 X” -8340 -156 WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k l 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 OWNER- FINANCED Required value of $45,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE I certfy 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 iri formation 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 ctainq, 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 Wormation supplied to the city as apart of this application. % SIGNATURE: _��,�� —�- DATE PRINT NAME: %�i/`I /rS 2. .+QT/� �.✓t o..� Bulletin # 100 — April 14, 2010 Pagel of 3 k:\Handouts\Permit Application 0 VALUE OF MECMAMCAL WORK $ (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 roject. 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 (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fvdure to be installed or relocated as part of this project. Do t not Include existing fixtures to remain. BATHTUBS (or Tub /Shower Combo) LAVS (Hand Sin" 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 GENET 4L 1646 ,TION' CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE L4ACE yrJrLe.d LOT SIZE (In Square Feet) Li4KB HArdiJ EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? i�r /fo»s1o6- ❑ Yes eNo ❑Yes GYNo COM MERei�YIJ TEW /E nDi�'I ©N AREA DESCRIPTION Area Occupancy Group(s) s Construction # of is S uare Feet P Y PI a Stories Additional Information NEW BUILDING ADDITION Bulletin #100 -April 14, 2010 Page 2 of 3 k: \Handouts \Permit Application