11-104194 • Plumbing
City of Federal Way Permit #: 11-
104194-00-PL
Community Development Services
P.O.Box 9718
(253)Fed835-260731-260,WA 98063)9718
835- Inspection Request Line: (253)835-3050
Ph: Fax (253)835-2609 p Q
APARTMENTS,Name: COVEEAST BUILDING 11 UNIT 1122
Project Address: 126 S 332ND PL Bldg 11 Parcel Number: 172104 9121
Project Description: Replacing an electric water heater in Unit 1122.
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY
15455 65TH AVE S 15455 65TH AVE S 15455 65TH AVE S
SEATTLE WA SEATTLE WA SEATTLE WA
98188-2534 98188-2534 98188-2534
•
\ 3 ...
Water Heaters 1
PERMIT EXPIRES Wednesday, April 11, 2012
Permit Issued on Friday, October 14, 2011
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: /&-----"-/---1/
FI Io1 i1
• THIS CARD IS TO MAIN ON-SITE 4 ,
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-104194-00-PL Address: 126 S 332ND PL Bldg 11
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA 98003-6363
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) El Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By f / Date a? /p _/j
0 Rough Electrical Final Electrical GI Right of Way
Approved Approved Approved
By Date By Date By Date
1 -
CAITY
11 - �oy1 ( Y
Federal Way E R M I T o
CO ME PL DE EN FP
COMMUMTYDEVELOPMENT = ' LIC ATIO N
253.835.2607•FAX 253-8tkle
celi,www.awoffederalwau
C
14 '¶',1
SITE ADDRESS ERAt SUITE/UNIT#
/26 -s F 1/ EP le,0L
PROJECT VALUA�ll7N iP0 > ASSESSOR'S TAR PARCEL#
@TAR/
PARCEL
rO D
• l7 2 l 0 Y - 9 I 2
TYPE OF PERMIT BUILDING IWPLUMBING 0 MECHANICAL
DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) G D V E 4 S/' /'4 'e 7"l„✓Al T'-S
i
R E r'c.-.q c-, ^l6- Nor W i9 re 4 7-.4 A/)-< i N ,4,a7#rt I 1 A
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER k l N� c-o u.N77 I-10«S7.16- .f 14,7%-fe,P/77
MAILING ADDRESS E-MAIL
/ryrS es-rlif'-E- f. 5.6 4772-6, Dv. - 9'8 /88
CITY / STATE ZIP
NAME PHONE
/ At MP w5 E A1,V/ vr6-N•r..1c-E 2nJ -8j8- 6J-6 51
MAILING ADDRESS E-MAIL
CONTRACTOR 3 o D /SriS`rE. S - ,
CITY STATE ZIP FAX
Ft c' ' & ,-' y ua4- 9'801,3 2,S'0-836 -65-65-
WA STATE CONTRACTOR'S LICENSE# 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-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
-
PROJECT FINANCING NAME
0 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 I 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: /'7/
7
,/ �� _ DATE / /y�/ i
PRINT NAME: ,�M,f f 2, .4 TK AA.,,..e o N /
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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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 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
f i
ict5 a sg ' �.� , . 'x.� v.v iF ,-I, .f t t 5,t 4z,-. �,} �.; 2ttxr k 141;
* Indae 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 PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/unity) X WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATIQN
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF
EXISTING IMPROVEMENTS
4.43K E f/�✓E o L�¢K 6 y Ard
'4')
EXISTING/PREVIOUS USE LOT SIZE(Iu Square Feetl EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
/"+qKT/-FRM/cr /�oKs/.✓b ❑ Yes 11—No ❑Yes GJ-'No
•c F ���• , 1 J' t e3 /c. 3
AREA•
DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENF
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK.
GARAGE 0 CARPORT 0
OTHER(describe)
E7aSTIN6 PROPOSaD TOTAL ....._.........._............._..._.................,....
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$_ #OF BEDROOMS
t " ' ' - ' '' -,coNIATER,cmNty"- DPITtQN 1:::: :;`,11:r;,::,•;;; ;:,-';',;, ,,
AREA DESCRIPTION
Area ,<: `" .,� . tVt
Occupancy Group(s)
Construction #of
in Square Feet Type Stories Additional Information
NEW BUII,DING .
ADDITION
Ql 'IERC A - MODEL TF41 `ANT 1V1 13•Q 1 PIT
AREA DESCRIPTION Area Occupancy Group(s)
Construction #of
in Square Feet Additional Information
Type Stories
TOTAL.-i BUILDING
TENANT AREA ONLY
PROJECT P►RE ONLX
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application