05-100971 I.
City of Federal Way Plumbing Permit #: 05 - 100971 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305a
Project Name: COVE EAST APARTMENTS,BLDG 9,UNIT 904
Project Address: 134 S 332ND Bldg9 Parcel Number: 172104 9121
Project Description: Remove/replace an electric water heater in Unit 904 of Building 9
Owner Applicant Contractor
HOUSING AUTHORITY OF THE HOUSING AUTHORITY OF THE HOUSING AUTHORITY OF THE
15455 65TH AVE S 15455 65TH AVE S 15455 65TH AVE S
SEATTLE WA SEATTLE WA SEATTLE WA
98188-2534 98188-2534
Plumbing Fixtures
Description Description IQuantity'P Description Quantity
Water Heaters 1
PERMIT EXPIRES March 1,2007.
Permit issued on March 1,2005
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: Y—1—os
F1 6
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�, THIS CARD IS TO REMAIN ON-SITE .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100971-00-PL
Owner:
Address: 134 S 332ND PL Bldg 9
FEDERAL WAY, WA 98003-6363
This card is part of your required inspection documents. 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) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
, ,
❑ Final -Plumbing (4075)
Approved
By Date /)&:-
e � '
t CITY OF RECEIVED 0 Lj - f 0 O 1---•/
Federal Way PERMIT
commumTYDEV&LOamsrrsERVicES MAR 0 1 OQ�l SF MF CO ME EL m�E EN FP
33530 FIRST WAY,WA •YO BOX 9718 A PP LI C ATI 0 N
FEDERAL WAY,WA 98663-9718 To
253-661.9115.FAX 253-661-9129
mew.nwor(ederalwa,,.cai CITY OF FEDERAL WAY
The allowing is require$inlfoUr)matioon-an incdgi•fete a•placation will not be acce•ted. Please •rent le•ibf (in ink) or •e.
/24— PROPERTY INFORMATION
SITE ADDRESS /3 ' S. 33.Nr" SUITE/UNIT# 0 y _
ASSESSOR'S TAX/PARCEL# / 7 + . - C / I1� P LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) e t t)Z. L a. 1- A r aL VT 't e ✓Cts
.. �a C,(Aaachs aps poge(o��ryrhylegaldescrdJ I )i Q.. 9e 02'3
J r' f�G/ fJ �TL G C, VCL 1 (,(., i..et�
PROJECT INFORMATION
i
TYPE OF PERMIT O BUILDING `PLUMBING ❑ MECHANICAL
❑ DEMOLITION • ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
R1) l A c. vv 1/4...<._vi..„ �-4 c)t U)(A.t,2.-v r e it 0._ „cu. ::
PROJECT NAME (Name of Business or Owner Last Name).•� (�.Ca L^: J1/1 eii
PROPERTY NAME /� { / PRIMARY PHONE
OWNER 1- le- ( NCk AU I I1Ov'ift.t ° Tile- ( ) -
MAILING ADDRESS J CITY,STATE,ZIP
5 4 5 S (4,5141 ! 0 5 5(26(1' 1-e:: 1.e 'G • R F I 7g- — )-.5-W ----
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
`�(( Coue. � . -r Afars ( )
i (Y MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
-
1"i 04f 6-e.. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
11151yr1 - - B L / / ( ) -
/1-}"I- i U yi • CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each.application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
e-0 E‹,-.-1- h, p1s ,,,,,r 3e I K �e.Uo & (?53) ` 5a-G.,oi-6
MAILING ADDRESS CITY,STAT ZIP CELL PHONE
` Cy St d _"� ' 4 ( ) YvU2�
RELATIONSHIP TO PROJECT FAX MBER
❑ Architect ❑ Tenant AAgent ❑ Other(Describe) (�, ) `a 4.en-5,5-,5
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Lk e`l e_ 1r -0<\1 c e ( ') 4, (00-2.0
LENDER - Per RCW I9.27.095:,Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
_
DETAILED BUILDING INFORMATION
E )STING USE _ OPOSED USE
EXIBKING ASSESSED APPRAI VALUE $ ,//" VAL E OF PROPOSED 7E $
SPRIN EKED ILDING? ❑ ❑ NO IRE SUPPRESSION SYS M PROPO /REQUIRED? ❑ S ❑
WATER SERVICE PROVIDER ❑ LAKEH ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
_ SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL Tor u.susrneo Sr" ;TOTAL PROPOSED Sr ;TOTAL sr
`"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Tay MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS IOSE BIBBS
LAYS Mat/Room Sind ) VACUUM BREAKERS // ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorn eys'm fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and fled against the City of Federal Way,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.
-
NAME/TITLE DATE 3- J —
(Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
13e o
I i0 s J
` S CDT N p ALTERATION a'REPAII2` 'TEN1 ll1&PRO MENT
: e D IIf HELL NLi'? v3 YFS q No
� ' o YES BAC PLAN?" ,
CHANGE OF USEV:t7 C YES
i l ? IIP
/SE PA/SU? � a',1 • • 'YYEES S� 04 YES` l O ,. . DEMO ".'
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application