11-102178a
y City of Federal Way ` r Plumbing
Community Development Services Permit #: 11- 102178 -00 -PL
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 P 4
Project Name: COVE EAST APARTMENTS, BLDG 1, UNIT 105
Project Address: 111 S 331ST PL Bldg 1 Parcel Number: 172104 9121
Project Description: Replacing the electric water heater
w er
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 .. ............................... 1
PERMIT EXPIRES Tuesday, November 29, 2011
Permit Issued on Thursday, June 2, 2011
1 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: ( -- 2 — f f
GINk1LCD 6/8/If
crry OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOIJEMAIN ON -SITE
Construction I ection Record
INSPECTION REQU TS: (253) 835 -3050
11- 102178 -00 -PL Address: 111 S 331ST PL Bldg 1
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 9 f�
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 9 f�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Gro
Federal Way C
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N 0 'L 210 1
r PERMIT
APPLICATION
6 MF CO ME (5 DE EN FP
SITE ADDRESS
SUITE /UNIT Y
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PROJECT Ve N
$ Aso. o a
ZONING ASSESSOR'S TAX /PAR L Y
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
C- p V E E'4 S i /,;7 "0-4 -%*- 7-/114!5,
PROJECT DESCRIPTION
R E g • W.9 7- w H r�' T-,4 .v /4,1074-' O S'
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
1 N Go a i✓T iI o wS /N(� /� t T�y/e R i 7
PRIMARY PHONE
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
NAME
PHONE
it! Ho "-J E "'4 "Ivr4tr 4
2,0 S/
MAILING ADDRESS E -MAIL
3J.3.,
CONTRACTOR
CITY STATE
w.*y W*
ZIP
`i o o3
FAX
23'R -8310
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 1 am the property owner or authorized agent of the property owner. 1 certi%y that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certi jy 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: T9 /`+ of
Bulletin # 100 - April 14, 2010 Page 1 of 3 k:�Handouts\Permit Application
r
VALUE OF MECRAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each t 22e qffixture 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 (comet w)
BOILERS FURNACES HOT WATER TANKS (cas)
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 factures to remain.
BATHTUBS (orTub /Shower combo) LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /un7iM WATER HEATERS (Electric(
HOSE BIBBS SUMPS WASHING MACHINES _If TOTAL FIXTURES
GENERAL IIVFQRTia
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
(_4KE f/s#reA�
LgK6 yArGAJ
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
p t<71-010 y��y Ito -.5 INb
❑ Yes gNo
❑ Yes p-'No
CQM' VIERCL40 , DI'ION
AREA DESCRIPTION Area Occupancy Group(s) Additional Construcction
is Square Feet Stories Inf
Information
NEW BUILDING
ADDITION
Bulletin #100 -April l4, 2010
Page 2 of 3
k; \Handouts \Permit Application