09-101923 •
•
P1unibinng
City of Federal Way
Community Development Services Permit : 09-101923-00-PL
1.
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: COVE EAST APARTMENTS-APT 812
Project Address: 138 S 332ND PL Apt 812 Parcel Number: 172140 9121
Project Description: Replacing electric hot water tank
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY COVE EAST APARTMENTS COVE EAST APA
15455 65TH AVE S 33030 1ST AVE S 33030 1ST AVE
RTMENTS
SEATTLE WA
S
FEDERAL WAY WA FEDERAL WAY WA
98188 2534 98003 98003
Water Heaters 1
PERMIT EXPIRES Monday, November 23, 2009
kt
Perna t Iss ed n Wednesday, May 27, 2009
I her :' that the above tion is correct and that the construction on t abovede ed •. .-perty and
occupancyand the use vibe in accordancefwith the la7.ws, rubs old�uiat sof S 7.1:
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' 41ILNIL THIS CARD IST EMAIN ON-SITE
CITY OF' Community Develop ent Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101923-00-PL
Owner: KING COUNTY HOUSING AUTHORITY
Address: 138 S 332ND PL Apt 812
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By /C Date SAO/
•
For inspector reference only
• 0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
CITY OF� r / c1 / /
` Federal Way- �Y9 07
COMMUNITY DEVELOPMENT SERVI PERMIT SF MF CO ME ELDE EN FP
w 33325 D AVENUE SOUTH•63 BOXY 2 7 ZoosA P P L I.CATION TD
FEDERAL WAY,WA 9806 BOX I / /
253-835-2607•FAX 253-835-2609
wu»lr.ttituo ITYNCF cr FEDERAL WAY
The following is require f•mation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
WIMINIMIlnalliiiiiirINCI • zonD ow411 • : u : 'ON
SITE ADDRESS !38 .$, 33 Z''D/°L 91,Z' g EO aie.�a, SV 4y, 1,4m 9'0003 SUITE/UNIT 2
• #_ 8
ASSESSOR'S TAX/PARCEL# / 7 2 / _O 4{ - 9 / _2. / LOT SIZE(sfl
LEGAL DESCRIPTION(e.g,Acme Estates,Lot 1)
(Ada•h separate page for lengthy legal desaiptIon)
� ;):Z•?ilx•il�i h�laC•l:it'iI:V�(�l
TYPE OP PERMIT 0 BUILDING 9/PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description o, work included on.this permit onlu)
g E PA-04 G/A16- /-JOT t )f 7- TAI— /N .4,0-r, s V /2
PROJECT NAME(Name of Business or Owner Last Name) C-0 V 6 E 4 5 T AI/°,9 R T!y E QTS
PROPERTY NAME PRIMARY PHONE
OWNER k l A/6- G.Go/4_,,,Tey XO,u i/.vo- /4 kt.77.9 0.4 :7-y ( ) -
MAILING ADDRESS
CITY, ZTP -
EMAIL ADDRESS
/,,S- e,r r-S l rT 411,E . S. 5EgTTt.e, ,,V,9 9818 S
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE '
D
1" CITY OF FEDERAL WAY,: .INE'S !CENSE NUMBER EXPIRATION ( )
V
RA ION DATE
FAX
NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONEC�
Co -'$ 4xo 1,e 7 ,47-5 T)9#,CS R. �TKi.vs'A..) (2S-3 ) 3- -6020
MAILING ADDRESS
CITY,STATE,ZIP CELL PHONE
33 030 /5'
7-
/1,4.• l PF rE L wr¢J w
RELATIONSHIP TO PROJECT /r �• S�b03 (273 ) 6 723I 'f
FAX NUMBER
0 Architect ❑Tenant KAget tt 0 Other (273 )8 313 to 76_5-
i
PROJECT
76.S-
PROJECT NAME PRIMARY PI IONE E-MAIL ADDRESS
CONTACT ( )
LENDER NAME Per ROW,19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATti,ZIP PHONE
( ) -
■ DETAIL D BUILDING INFO• I ATION
EXISTING USE M:,t- 4-7-7 C '1 ' —/ PROP()SED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUIi OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YESia
'FIO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES re I1
WATER SERVICE PROVIDER artAKYEEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER IB'LAKEHAVEN 0 HIGHLINE 0 PRNATE(SEPTIC)
4 PROJECT FLOG REAS ,•.� I'
a ,. 3.,.,6-, .�.,,,,. .i.. . i -. _ ..,,.,.. w„..x. .,,. .r . ;:',, _ ., .... ,..�.lill' .,,i^7 ' '> I{wv .' Y4: I,,.:;;.1-',`,',1.,'F'-';(.'' '113"E''
0
AREA DESCRIPTION EXISTING PROPO TOTAL ,
BASEMENT SQ.FT. T. SQ.FT.
FIRST
SECOND 1
I
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=WINO TROTO$5D TOTAL TOTAL SEWING of , PROPOSED of TOTAL SrNUMBER OF FLOORS
,
**NEW HOME NLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES . •
Indicate number of each type of fixture to be installed or relocated as port of this project. Do not include existing futures to remain.
MECHANICAL
Value of Mechanical Work$ 3 a o _ o a (A COPY OF BID OR ESTIMAT.?MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower combo) LAYS ithehroomsirdm) __ URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roller)
ELECTRIC WATER HEATERS SINK1 WASHING MACHINES
HOSE BIBBS SUMP'S
SIGNATUR
I certify under penalty of perjury that I am the property owner or authorLsed 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 issu,znce 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 tie 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: ,...�f"'�^"' DATE 5.--- 24. 7—tag
.w'' Property Owner and/or Authorized Agent
❑NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT ((
eallIWIIIMI ..
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO t
ZONING DESIGNATION CHANGE OF USE? a YES a NO i
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application