11-101266City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: COVE EAST APARTMENTS
Project Address: 111 S 331ST PL Apt 117
Project Description: Replace electric water heater
. ' ` Plumbing
Permit #: 11- 101266 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9121
caner
Applican
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
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-.7
Owner or agent; Date: ' -'- 41
418111
CrrY OF
Federal Way
THIS CARD IS TO REMAIN ON- SITE
Construction I ection Record
INSPECTION RE VESTS: 253 835-30
Q ( ) 50
PERMIT #: 11- 101267 -00 -PL Address: 111 S 331 ST PL Apt 117
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
My OP 'A
F ederal Way *PERMIT S F CO ME EL L DE EN FP
F
COMMUNITY DEVELOPMENT SERVICES APPLICATION ' -
253- 835 -2607• FAX 253 - 835 -2609
wwwAtuo ffeder(l way. cmq
SITE ADDRESS
�I-q ci,v
PROJECT DESCRIPTION
Dettliled description of work to
be included on this permit only
NAME
PROPERTY OWNER )C / i✓ b Go w,✓ ry Ho &-,-X i V 6"
MAILING ADDRESS, CITY, STATE, ZIP
'Y,*
OWNER IS ALSO: [:] CONTRACTOR Al
NAME
/N NoKJAf 0'7��NTeN.Ri✓�C
CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP
33ojo 1;r,oFee-_v. fe &,oe *c
WA STATE CONTRACTOR'S LICENS M
APPLICANT L7
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
MAILING ADDRESS, CITY, STATE, ZIP
NAME
MAILING ADDRESS, CITY, STATE, ZIP
ALTERNATE CONTACT NAME:
2 7 19-✓ K /'IV 1,91'07-9f— % / 7
PRIMARY PHONE
4St7-HC/e, T -
E-MAIL
7L Lr N/ 9' 1�
LICANT PROJECT CONTACT
PRIMARY PHONE
FAX
wg wg 9800 zf.� g18 -&
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
PRIMARY PHONE
FAX
PRIMARY PHONE
FAX
PRIMARY PHONE E -MAIL
1 -
PROJECT FINANCING NAME 0 OWNER - FINANCED
Required for projects with
value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE
()?CW 19.27095)
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 certqy 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 ` /'S" f I
PRINT NAME: .T19 M 'cr- } /lo _ 7 Ki.✓fe i✓
Bulletin 4100 — 4/17/2009 Page 1 of 4 k:\I-landouts\Permit Application
1VIE�IAN�CAL:FI'T
UkAS
Value of Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type of fiture 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 (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
I'LTIIN
FIXTURES
. .
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 (Hmdsinka)
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 FUMMES
GENERAL INFORMATION
PROJECT VALUATION
$ y0!>�00
WATER PURVEYOR
L,�9KgN/i ✓E.✓
SEWER PURVEYOR
L,�KE Nom' ✓Bnl
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
,t,,K �T 1 f,�,,,, ��, N ®-c.S ii06
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
0 Yes e.1No
PROPOSED FIRE SUPPRESSION SYSTEM?
0 Yes d No
COM11/IEI C AIJ NEVVIADDITION.
AREA DESCRIPTION Area Occupancy Group(s) Construeetion Stories Additional Information
in Square Feet
NEW lamtDING
ADDITION
Bulletin # 100 — 4/17/2009 Page 2 of 4 k: \Handouts \Permit Application