12-103530 • Plumbing
Cityof FeWay Permit #: 12-103530-00-PL
Community&Econ.
Dev.Services -
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
p
Project Name: COVE EAST APARTMENTS BUILDING 11 UNIT 1 112o
Project Address: 126 S 332ND PL Bldg 11 Parcel Number: 172104 9121
Project Description: Remove/replace water heater
Owner Applicant Contractor
KC HOUSING AUTHORITY KC HOUSING AUTHORITY OWNER IS CONTRACTOR
600 ANDOVER PARK W 600 ANDOVER PARK W
TUKWILA WA 98188 TUKWILA WA 98188
Plumbing Fixtures
Water Closets 1
PERMIT EXPIRES Monday, January 28, 2013
Permit Issued on Wednesday, August 1, 2012
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:
nrn.t ,/,,,
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-103530-00-PL Address: 126 S 332ND PL Bldg 11
Project: KC HOUSING AUTHORITY 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.
`O Plumbing Groundwork(4190) -El Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By !e_ Date /3-/Z
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
a), - ( o s s
cin w
Federal Way RECEIOD?ERMIT MF CO ME 41 DE EN FP
COMMUNITY DEVELOPMENT SERVICES PLICATION253FAX 253-835-2609
3-8 0
www.cituoffederalwau.o rn AUG Att)
CITY OF FEDERAL WAY Hca b
SITE ADDRESS CDS SUITE/UNIT S
I 2, 6 S.. 33.Z"'P/ 44- / /1c FEpEXogt ke)t7 Li/9 98i ") I1 Zc)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ ?JO0 0 / -7 z / o Y - l 2 1
TYPE OF PERMIT 0 BUILDING RYIC UMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C•p V E E 4 S% 4 f 4 .e Fig/
R E ro L,g c, 6- Wa r W s3 Ti: /e 7-.4 N k 1,7;
PROJECT DESCRIPTION / 2-0
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �c
14- Gp`[.NT`y <JO
S/N ALT
G � HoR iT y
MAILING ADDRESS E-MAIL
GrTyig��.s- 5.6 47714-r w 4- 9 8 /13$
CITY / STATE ZIP
NAME PHONE
L dti Ho wsE Ag.4 c_4 Zn -B3g- 6,r6 y
MAILING ADDRESS E-MAIL
CONTRACTOR ' 0 3c, sr rE• S.
CITY STATE ZIP FAX
FED4E2R& rusty W4 g800 2 3b -65-6,S""
WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
NAME
PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
RequiredEl uob' of$5 000 or more OWNER FINANCED
,
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 application.
SIGNATURE: _ ✓lam/� DATE 8/Vi
PRINT NAME: 7,9/i i;f 2. 4¢TK i.✓f o Ar
Bulletin#100—April 14,2010 Page 1 of 3 kaHandouts\Permit Application
•
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many 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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
P
Indicate how many 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(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS iK;ccheniuwiryi X WATER HEATERS(Elecmc)
HOSE BIBBS SUMPS WASHING MACHINES f TOTAL FIXTURES
, GENERAL INFORMATION:
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENT3
L,*KE f/4reA/ Loge Hq.rEA)
$
��i EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
0//1.L7/-F4M/4.7 !/c»snub ❑Yes 1No ❑ Yes p"No
'RESIIIE ,.. NEW OR:ADITrI`ION.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE.
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
....NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL 7 STEW/ADDITIOl
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDINQ
ADDITION
- COMMERCIAL-/ZEIViODEL/TENANT 111TP140VEIVIENTS,
AREA DESCRIPTION
Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application