12-102428 111F
Plutubin
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City of Federal Way
Community&Econ.Dev.Services FT` Permit #: 12-102428-00-PL
33325 8th Ave S ;;
Federal Way,WA 98003 Ins Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 q
Project Name: COVE EAST APARTMENTS-BLDG 10 UNIT 1003
Project Address: 130 S 332ND PL Bldg 10 Parcel Number: 172104 9121
Project Description: Remove/replace water heater
•
Owner Applicant Contractor
KC HOUSING AUTHORITY KC HOUSING AUTHORITY KC HOUSING AUTHORITY
600 ANDOVER PARK W 600 ANDOVER PARK W 600 ANDOVER PARK W
TUKWILA WA 98188 TUKWILA WA 98188 TUKWILA WA 98188
Plumbing Fixtures
Water Closets 1 `
PERMIT EXPIRES Tuesday, November 27, 2012
Permit Issued on Thursday, May 31, 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: -V,//J?
F1NA (
• THISCARD IS MAIN ON-SITE
CITI/OF ' •
'
Construction ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102428-00-PL Address: 130 S 332ND PL Bldg 10
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) 0 Rough Plumbing(4230) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
.
0 Final-Plumbing(4075)
Approved
ByJ? Date 6-/_a-/Z
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
err o� R — O 2
Fe ieralWaECEIVE[#PERMIT MF CO ME PL DE EN FP
COMMUNITYDEVELOPMENTSER , 31 201ppLICATION at.
'153-835-2607•FAX DEVELOPMENT
5-2�J�{
www.atyoffede ralwa y.corn
CITY OF FEDERAL WAY
SITE ADDRESS CDS
SUITE/UNIT Y
13 0 r. 33214.11, 4 # /003 r P dr.tAt G avA rte.¢ "?9c,v3 /0 0 .)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
'1745-0• 0 0 / 2 J O 17/ - •9' / 2 1
TYPE OF PERMIT 0 BUILDING 241,UMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ( p y E 5 j ./°14 l--S'
PROJECT DESCRIPTION k E �t c-/ G War w r9 7( T.4 N k /iv 4/'7 /t3 D 3
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER k 1 N6- ce(4.4vr7 !No N S/.✓G- 4 KT/-A, i y
MAILING ADDRESS E-MAIL
S f— E 47-7-4-A" 14,_ �P 8 8
i
CITY STATE ZIP
NAME
PHONE
I Ai Ha 1-C-5 E NT ,110,-..)c. 2r) -8jg_ 6.5-6. y
MAILING ADDRESS
E-MAIL
CONTRACTOR 3 3 a /ST re. S
CITY STATE ZIP FAX
FEDE/LAL ri/Aty k✓g- g0oo3 250-836 —65'6
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
/ /
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
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 1 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: ✓�' � _ DATE 17" // 2--
PRINT
PRINT NAME: 7,9t/e-5 2.
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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i 11 f.LIeJbt4LJL4 Y V ,
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
'IiEMRING F'X.TES
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(Kitchen/Utility) , X , WATER HEATERS(Electric)
HOSE BIBBS • SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATION
-
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
LA;1XE //4, ,t) L.4 1(4. H A rd.-
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
' ttLfl-FQM/cy fyoµs/�b ❑Yes�No ❑ Yes r 1 o
^Ri ltliN EL !NEW OItAD1)fl 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
»* Ip HOMES.ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMER IAI.'- STEW/E UDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
II,
in Square Feet p Y pl l Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/ NANT IMPROVEMENTS:,
AREA DESCRIPTION `rea Occupancy Group(s) Construction #of
in Square Feet p y p( ) a Additional Information
Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AR>A ONL1C
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application