09-101482 •
City of Federal Way • • Plumbing
Community Development Services Permit #: 09-101482-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 rimInspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
oratom
Project Name: KINGS COURT COMMUNITY CENTER ADDITION
Project Address: 2217 S 333RD ST Parcel Number: 797820 0182
Project Description: Installation of utility sink in maintenance area.
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY OLD WORLD CONSTRUCTION OLD WORLD CONSTRUCTION
600 ANDOVER PARK W 27013 PACIFIC HWY S SUITE 363 OLDWOCL952B6(1/20/10)
SEATTLE WA DES MOINES WA 98198 27013 PACIFIC HWY S SUITE 363
98188-3326 DES MOINES WA 98198
S inks I
PERMIT EXPIRES Sunday, October 18, 2009
Permit Issued on Tuesday, April 21, 2009
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: v.., � Date: y12\,`1C1
•
��9a 9o ) 9/
DATE INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO MAIN ON-SITE
CITY OF - ommunity DevelopnWnt Inspection Record
Federal -a . IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101482-00-PL
Owner: KING COUNTY HOUSING AUTHORITY
Address: 2217 S 333RD ST
FEDERAL WAY, WA 98003-6830
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) GI Gas Piping(4125)
Approved to cover Approved� Approved to release test
\‘,/.....3By � Date . _o /�
� ,� ; By "ate /1.
By Date
- 0 Final-Plumbing(4075)
Approved
By vvj� Date - —o 61 •
.
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF ARECEIVI - L _a -
Federal Way E RM IT
COMMUNITY DEVELOPMENT SERVICES p y A
SF MF CO ME ELSE EN FP
J 253-835-2607.FAX 333 F RAL W Y 98 63-9609SOUTH•PO BOX 718 ^1 PR 21 PLICATION TD ,.,,,wunacituoffederdwnu.com ( {`, /
OF FEDERAL WAY • /
The following is required infe7IL.rygon-an incomplete application will not be accepted. Please print legibly(in ink)or type.
LLJJ�� • PROPERTY INFORMATION
SITE ADDRESS . 3k--1 `) 3>3‘-'6_, S) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# =I S i Z 0 - CI\ g Z. LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepmntepage for lengthy Legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING .,®-PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide detailed description o work included on this permit onlu)
2ia� CA(..tti\u \ ,,Pi,i t --.DGC 1\-t,t L,.r < I,v —ALL_ S k .bV
PROJECT NAME(Name of Business or Owner Last Name) 4(I-1(15 Cc ,A!A- COANNI ir4‘ `' C e,, 1 e'E j. , k'`(d r-J
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER I r� l rblh 07 \51-Sly MT-1- 1TY (2.0 )571 - 12 3
MAILING �R ? �ST � S `C E-MAIL ADDRESS
CONTRACTOR COMPANY NAME�� APPLICANT NAME q OFFICE PHONE
b-0 LAO Q C.sxvThc,T1 o.-.f (v' V.t4 S ( ) -2.(og
MAILING ADDRESS --pcITYSTA E ZIP CELL PHONE
270l) 14Cr ( �,,i x`34?2, . . `� P{t�oit 5 �:l`, L Ict ( )
CITY OF FEDERAL WAY BUSIt S LICENSE NUMBER EXPIRATION DATE FAX NUMBER
,,' ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
_ `A.7L,,,,... �- I --Z3-10
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E_
MAIL ADDRESS
CONTACT (NAkuat4eL_ S ,,"\ ( ) ' - 2-(G'S8 M\'4*- ' L,,%,P 1.0 )E-
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE -
( )
a DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGH-LINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS E7asusG PROPOSED TOTALTOTAL EXISTING Sr TOTAL PROPOSED 31 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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commemiaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(
Tod.)
ELECTRIC WATER HEATERS — SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE-
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 information supplied to
the city as a part of this ap•tic•tion.
SIGNATURE: -z\ C-)(1
�l DATE 1
rnrOwner and/or Authorized Agent
•
s9
... . _.. .. ... .....,...«._, .. _. ..._.._.... - --"---...,..—.,....nom
❑NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
.... . . ........_.. .. ___.._.
a YES a.NO
ZONING DESIGNATION CHANGE OF USE?
_. , .. . ,. ..._ .... _....,. . .._ _. .._... .. . _ �_... ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100–January 1,2009 Page 2 of 4 k\Fiandouts\Permit Application