16-101764f f�
plintAinty
city of federal Way •
Community & Son. Dev. Services Permit #: 16 -101764 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 (� 4
Project Name: COVE EAST APARTMENTS BLDG 13 UNIT 1312
Project Address: 110 S 332ND PL Bldg 13 Parcel Number: 172104 9121
Project Description: Replacing hot water tank
Owner
nticant
Contractor
K C HOUSING AUTHORITY
K C 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 Saturday, October 8, 2016
Permit Issued on Monday, April 11, 2016
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: G Date:
FINAV.1eD
THIS CARD IS TO �IN ON-SITE "
CRY OF Construction Ins Lection Record
Federal Way INSPECTION REQUE-TS: (253) 835-3050
PERMIT 9: 16 -101764 -00 -PL Address: 110 S 332ND PL Bldg 13
Project: K C 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.
® Final - Plumbing (4075)
Approved
By V4 Date j 3 6
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
® Final - Plumbing (4075)
Approved
By V4 Date j 3 6
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
R#
CITY OF APR 11 2016
Federal q.OF FEDERAL
CDS
WAY
PERMIT NUMBER _ 0 ? �(
f 4
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterrn)citkoffederalwas-•.com
TARGET DATE
SITE ADDRESS 33)-
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i
SUITEJUNI?T#/�)
R�
VALUATION
ZONING
ASSESSOR'S TAXJPARCEL #
�P,,R}OJECT
TYPE OF PERMIT
❑ BUILDING SitPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
COVE
PROJECT DESCRIPTION"
Detailed description of work to
be included on this permit only
NAME
if /,'< to }�c� s s
Tr—
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-�L
1,5q 55- 6 s
CITUA�,,,, r"'
33 ""�'J IJ8
STATE
ZIP
'I {I �
il- „
l.7 i
NAME/�,,,
R��"
PHONE
_f31-15
MAILINGADDRESS
330 W JST 4VC S
E-MAIL
CONTRACTOR
CITY
4✓
STATE
11'
ZIP �� ®�
r
FAX ..� ,p- 4 V
�� -' `--'tl�fit
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
l I
NAME �fy" �o
PRIMARY PHONE
APPLICANT
MAILING ADDAESS J I
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CI'T'Y
STATE
ZIF
rAX
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or rrwre
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHOS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance
of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to tlae city as apart of this application.
SIGNATURE: DATE 4 1�!
4
/j'
.,PRINT NAME: ✓"-
'bulletin #100 – January 29, 2016
Page I of 2
k:AHandouts\Permit Application
-- 11-- ft ft I I..
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
�
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
ALUE OF PLUMBING WORK
PLUMBING PERMIT
a�$,
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existigg 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)
WATER HEATERS (Electric)
1
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
VIXI Fn..l W NCV51.-►4
❑ Yes)( No
❑ Yes W-No
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application