14-105085 • 4111 Plumbing
City of Federal Way Permit #: 14-105085-00-P L
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
Project Name: COVE EAST APARTMENTS BLDG 12 UNIT 1206
Project Address: 122 S 332ND PL Bldg 12 Parcel Number: 172104 9121
Project Description: Replace electric 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 Heaters 1
PERMIT EXPIRES Monday, March 30, 2015
Permit Issued on Wednesday, October 1, 2014
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: re)//// ,
4-'111414e
r riv�r�1..ED
+ ANAL THIS CARD IS TO MAIN ON-SITE r •
CITY OFConstruction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105085-00-PL Address: 122 S 332ND PL Bldg 12
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.
El Plumbing Groundwork(4190) Rough Plumbing(4230) Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
. . I .
Final-Plumbing(4075)
Approved
Date(G_0 iy
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
14- — 05-0 85
Orr or • PERMIT
Federal Way MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED �,���
253-835-2607•FAX 253-835-2609
www.atUo/i`demlwau.rom OCT 0 1 2014
SITE ADDRESS -CITY OF fECTAIrArigo
12_2, 5, 33.2. �� # )2 o6/ F v�.tq� u,r9y/ IA) 9reoo3 CD
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ '71,70• 00 / 7 2. / o Y - 9' / 2
TYPE OF PERMIT 0 BUILDING LH'PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) G p V E ,E 4 S% /4/° 4-7'>41 E Al r S
PROJECT DESCRIPTION R 6 r°£4C-/ it Aja T W/9 7 /e 7 Al K JA) , /°%t /Z 4.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER kN(r c o k,�r . N o .-t rye,¢1,7x
MAILING ADDRESS E-MAIL
7j TH4,''E-,f. 56 477-4- `'1 w* 98/.$
CITY ' STATE ZIP
NAME PHONE
/ Al MP of s E •ti.41'Ai7 . 'c- zr) -ff3j8_ 6S6 y
MAULING ADDRESS g-,MAIL
CONTRACTOR 3 v d o sr
�vE. S _
CITY STATE ZIP FAX
FD£2Rc_ ,w, y w4- gF3oo3 2-59-836 -6S6S
WA STATE CONTRACTOR'S LICENSE r EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
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_ L
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095 MAILING ADDRESS,CITY,STATE,ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised 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!will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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: �i� _ DATE iOAA
PRINT NAME: TR rr f /Z. f3 TK/,✓t o.J
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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a.. "o �' Yt ' Y x. te sjr sk Jt u` $ .r� Y'�
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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 OTHERDescribe
t l
t AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS - REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
F
{ d C ,r rr r4 �. ;.4 {, s'tt„ a Yr 'Ig tk k7 4 x L�.`f'"'st 1 n
Indicate how many of each type f��re to be installed or relocated as part of this project. Do not includeexistirtg fixtures to remain.
o
BATHTUBS(or Tub/Shower Combo) LAYS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utflity) X WATER HEATERS(Electric)
h HOSE BIBBS SUMPS WASHING MACHINES
TOTAL FIXTURES
1 CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
i L,e�KE ygeeS) L4KLr /.4 A)
$
,f EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
��'f F „y �o»siNb ❑Yes erNo ❑ Yes -'No
tKit^��,�F 7t
fin, Vfw.':3 x v. ,rr �""sn ,Nr/tf x S Y' ..1'�J:tk7Elu�*t Vit
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE U.
3E
FIRST FLOOR(or Mobile Home)
SECOND FLO617
COVERED ENTRY
.. ..........................................
DECK
GARAGE 0 CARPORT 0
i
OTHER(describe).
EXISTING PROPOSED TOTAL .. _ ... ..... ..................__._.._._.....__.. ._....... ....._ .._. ..
Area Totals
.. **xEW HOMES Olerf -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Grou s Construction #of
in Square Feet P y P( ) Additional Information
Type Stories
NEW BUILDING"
ADDITION
rI��'��rr ?
* j.t ..'."� K ea t &^. i4oiiL /TRT T 11F1.E Ro NTs1,-
AREA DESCRIPTION Area Occupancy Group(a) Construction #of Additional Information
in Square Feet
Type Stories
TD IAL BUIT:DINE#
TENANT AREA ONLY
PROJECT AREA.ONLY `
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
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