11-103814City of Federal Way t
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0 Plumbing
Permit #: 11- 103814 -00 -PL
Project Name: COVE EAST APARTMENTS, BLDG 1, UNIT 106
Project Address: 111 S 331ST PL Bldg 1
Project Description: Replacing the electric water heater
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
Owner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
KING COUNTY HOUSING AUTHORITY
KING COUNTY HOUSING AUTHORITY
15455 65TH AVE S
15455 65TH AVE S
15455 65TH AVE S
SEATTLE WA
SEATTLE WA
SEATTLE WA
98188 -2534
98188 -2534
98188 -2534
Water Heaters ...............................
PERMIT EXPIRES Monday, March 19, 2012
Permit Issued on Wednesday, September 21, 2011
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:
CFO
qlrzllt
CITY OF
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 11- 103814 -00 -PL Address: 111 S 331 ST PL Bldg 1
Project: 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.
Plumbing Groundwork (4190)
Rough Plumbing (4230)
E]
Final - Plumbing (4075)
Approved to cover
By
Approved
Approved
By
Date
By
Date
B Y3
Dat fI
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
L owl
Federal Way OPE R M "IT *MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVE r
253.835 -2607• FAX 253-835 -260 E �jt CAT I O N
www.cituoffederalwau co m ��� \ \ \ \ \\
CCD n 'I
SITE ADDRESS
SUITE /UNIT N
1/1
/b
PROJECT VALUATION
�pli
ASSESSOR'S TAX /PARCEL N
-7 l 0 `� - C% l 2 t
TYPE OF PERMIT
_�mi�l
11 BUILDING P- AUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
G p V tz i¢ S j /e 4 ,- Al T S
PROJECT DESCRIPTION
l� E i° t_.g c i •✓�,. i(D T W r9 7� /e 7T,4 A/!-� l.v 4,007Z-,0-'4
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
k1Ne- Ca�NI </e«S /.✓(,- r%�LTyeRi7
PRIMARY PHONE
MAILING ADDRESS
I rq 1 �f7H� �'�.f. 56477 W I'9- 98/98
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
N YP ws'E AfW - .,vT6 —e-4- .I-4K
Zs.7
MAILING ADDRESS E-MAIL
3J O 3C) / Sf vE . S
CONTRACTOR
CITY STATE
ZIP
FAX
I�LrD�2�� ev*y W¢
g8003
xxi -930 -6 9,6
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
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
Required value of $5,000 or more
NAME
❑ OWNER - FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I ant 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
information supplied to the city as a part of� this application.
SIGNATURE: �,,.� —�-- DATE y` Z f- I i
PRINT NAME: T/% 11 e-f /Z. ,t3 J K /.✓t e ..>
Bulletin # 100 - April 14, 2010 Page 1 of 3 k:\Handouts \Permit Application
T 4zY':Yi=ALa
VALUE OF MECRAMCAL WORK $
(a copy of bid or estimate must be provided
Indicate how many o each t e o fixture to be installed or relocated as art of this roject. Do not include existi
AIR HANDLING UNITS FANS GAS PIPE CUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (cam)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING _ GAS PIPING
WOODSTOVES
Indicate how marry of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Y
BATHTUBS (or Tub /Shower Combo)
LAVS (Hand Sinks)
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
INFORMATI,QN
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L A; K E f/.Q✓t,° A) LFf it B y R4 rA6 ,J
EXISTING /PREVIOUS USE LOT SIZE IIa Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
r'16crr1- FA0411ar ❑ Yes e No ❑ Yes piNO
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s)
a Stories Additional Information
NEW BUILDING
ADDITION
Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application