11-101267City of Federal Way 0 ' Plumbing
Community Development Services Permit #. 11 -1 01 267 -00 -PL
P.O. Box 9718
Federal Way, WA 98063 -9718 yf,
Ph: (253) 835 -2607 Fax: (253) 835 -2609 °' `F Inspection Request Line: (253) 835 -3050
Project Name: COVE EAST APARTMENTS
Project Address: 111 S 331ST PL Apt 113 Parcel Number: 172104 9121
Project Description: Replace electric water heater
Owner
Applicant
Contractor
KING COUNTY HOUSING AUTHORITY
COVE EAST APARTMENTS
KING COUNTY HOUSING
15455 65TH AVE S
33030 1ST AVE S
15455 65TH AVE S
SEATTLE WA
FEDERAL WAY WA
SEATTLE W 98188
98188 -2534
98003
Water Heaters .. ............................... 1
PERMIT EXPIRES Sunday, October 2, 2011
Permit Issued on Tuesday, April 5, 2011
CRY OF ,
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Iection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 11- 101267 -00 -PL Address: 111 S 331 ST PL Apt 113
Project: KING COUNTY HOUSING AUTHOR 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)
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
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253 - 835 -2607• FAX 253 -835 -2609
www.cityuffe(kralu+au.com
*PERMIT
APPLICATION
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SITE ADDRESS
SUITE /UNIT Y
ZONING
ASSESSOR'S TAX /PARCEL ii ki ly OF FEDERAL WAY
NAME OF PROJECT
(Tenant or Homeoumer Name)
L V 0' i
❑ BUILDING PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
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PROJECT DESCRIPTION
Derailed description of work to
be included on this permit onlys,
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J u R3 §'�'\•�'.: Lma ;„.'� S % y.,• TW+' ts': }t ,' $.'p
vq`^.dG ^�„�''" '" C'tMH MAN
NAME
PRIMARY PHONE
PROPERTY OWNER
)C / N b L o vt i✓ 7-y Ho I'I-J / ,ov d.- `i TN v /P i r
MAILING ADDRESS, CITY, STATE, ZIP
E -MAIL
0 CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
.1,.,A HoKJ� /zi4/NT�G.Vi¢i✓G�E
2i3 z66 - 2J1 c,/
MAILING ADDRESS, CITY, STATE, ZIP
FAX
CONTRACTOR
330 0 /sT� ✓E. 3. FEV�ag-L 'vi9y. ov.4 %re,
WA STATE CONTRACTOR'S LICEN9 M
ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER- FINANCED
Required for projects with
value of $5, 000 or more
NAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
(RCW 19.27.095)
-
I certify 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 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 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
i>formation supplied to the city as a part of this application.
SIGNATURE: - - DATE Y - �`- /I
PRINT NAME: �/9 /"/ a- 3 /�' - T&IA,,Xo w%
Bulletin # 100 - 4/17/2009 Page 1 of 4 Ul-landoutsTermit Application
�
NIE�HANIC
FIXTURES
Value of Mechanical Work $
TOILETS
A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type of fixture 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 (commercial)
BOILERS
FURNACES
HOT WATER TANKS (G-)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
Indicate number 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 /Shower Combo)
LAVS (Henasinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
n+84'7-1 f.4n, ray.
DRINKING FOUNTAINS
SINKS (Kitchen /unity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
/ TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ YoU,o o
L, AK15 Ni,
- 4AtE h"*-&-%/
$
EXISTING / PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
n+84'7-1 f.4n, ray.
❑ Yes No
❑ Yes PNo
i :NE
COMMERCIAII -W W /ADI�TTION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
NEW BULL lIVG
ADDITION
Bulletin # 100 - 4/17/2009 Page 2 of 4 k: \Handouts \Permit Application