11-103630 r
• • Plumbing
of Fralay
Comm n'ity Development Services Permit #: 11-103630-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p G
Project Name: COVE EAST APARTMENTS,BUILDING 11,UNIT#1108
Project Address: 126 S 332ND PL Bldg 11 Parcel Number: 172104 9121
Project Description: Replacing an electric water heater in Unit 1108.
•
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
plufltbin� �
Water Heaters 1
PERMIT EXPIRES Tuesday, March 6, 2012
Permit Issued on Thursday, September 8, 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: 51-g— 1/
I
FII4A o q/q/(t
I' :001,
THIS CARD IS TO MAIN ON-SITE
CITY OF , Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-30.50
PERMIT#: 11-103630-00-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) 0 Rough Plumbing(4230) Cl Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By F--1.1- Date 9-19 -//
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- ( Q3(i3Q
Federal vC � ERMI
T MF CO ME DE EN FP
COMMUNITY DEVELOPMENT SERVICES A,p p LI CA'TI O N
253-835-2607.FAX 253-835-2609 [� Q n
www.atuofederalwau.com SEP 0 " '0'
SITE ADDRESC ITY OF-FEDERAL WAY SUITE/UNIT N
/ 2., 6 S, 3 3 z,16'€/r4..... /r a R FE.1), ew*y w . 5 co 003 / / 0 8
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ '7(70, o r7 / 7 Z 1 0 y - 9 / 2
TYPE OF PERMIT 0 BUILDING CH'PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) (.p V E 4 5 7- 4,04 de.7-M w T—f
R E r°c-4 C-i "14- t(o T LAI A!7Z "7".4 A/1-C J AJ ,Q/°i- s I /De
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER I4,NG-- ca.n..✓r,- f{o&-t-S i,✓G r¢K,Ty/e R,7y
MAILING ADDRESS E-MAIL
/s-y rs Gf ry�f''�.f. 5 477'-� et,r4- 9 8/.6
-
CITY j STATE ZIP
NAME PHONE
/ N f!a s c •efiV 'cif) -538- 6.r6
MAILING ADDRESS E-MAIL
CONTRACTOR 3J o 3p /CF.,"rE. .S;
CITY STATE ZIP _ FAX
F4Dd; - & .i/Aty i - g8003 -838 -69-65
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
I
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
J I
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 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: DATE 9 l r
PRINT NAME: Z ' !EL, /2„ 051Tk A.✓;o Ai
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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am�9 ,fin .,.us[. ,. •�#! �x YF
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(Gao(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
-, r,., .`, ,,h „ ,„i "�': � _;: �"cy ,R,j ���(��+�. a r� SME r >{' �i v r•.f` i a"ry ��'r Y.S�B d ro.•-:
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(ioichen/unity( X _ WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES / _ TOTAL FIXTURES
GENTRAL.INFO Tj( N, ,,
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
/"IKtT/-FAM/may iyo..s��b ❑Yes e No ❑ Yes rR 'No
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)
=STING PROPOS/CD TOTAL _.__....._. ............. .........
Area Totals
'"`NEW HOMES'.ONLII"
ESTIMATED SELLING PRICE$ ■/ry■l1■ _ #OF BEDROOMS _
•
AREA DESCRIPTION Area Occu anc Grou s Construction #of
in Square Feet P Y PI ) Additional Information
Type Stories
NEW'BUILD1MG
ADDITION
r + K�� a COM EE C } :2EMODELbT N• T Jr( ` ✓`3 rS M T A i ,--"'•'—"-
A
rea
Construction #of DESCRIPTION Occupancy Group(s)IsI
Additional Information Square Feet pe Stories
TOTAL,BUILDING.
TENANT AREA ONLY
PROJECT ARES}ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application