16-102034city of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
. 6 , Plumbing
Permit #: 16 -102034 -00 -PL
Project Name: COVE EAST APARTMENTS BLDG 13 UNIT 1322
Project Address: 110 S 332ND PL Bldg 13
Project Description: Replace electric water heater
Inspection Request Line: (253) 835-3050
Parcel Number: 172104 9121
Owner
Al2RIican
Contractor
K C HOUSING AUTHORITY
K C HOUSING AUTHORITY
KING COUNTY HOUSING
600 ANDOVER PARK W
600 ANDOVER PARK W
15455 65TH AVE S
TUKWILA WA 98188
TUKWILA WA' 98188
SEATTLE WA 98188
Plumbing Fixtures
Water Heaters ................................. 1
PERMIT EXPIRES Tuesday, October 25, 2016
Permit Issued on Thursday, April 28, 2016
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 oragent:
Date:
THIS CARD IS TO R ON-SITE z
Construction Insction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16 -102034 -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.
0
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By A43 Date 513
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
R n RecIMDCITY Qj PERM #APPLICATIO
}� APR 2 8 Z 016 Pp-,PmT CENTER + 33325 8u Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + t>ermitcentelfa)citroffederalv;ay.com
CITY OF '2- FEDERAL WAY r
PERMIT NUMBER N _ C) 9(I — F L TARGET DATE 2,S��
SITE ADDRESS
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SUITE/UNIT #
C
PROJECT VALUATION
Lj
ZONING
ASSESSO S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C o U� C—, q S)�j�/vZ � N � rL (2/V7 tF- -T
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME rPIW4ARY PHONE 'g p
1,fPJ4 �Jr.J �/ ���/� �n�r o'®6"577 Ll' 17 �
PROPERTY OWNERADDRESS
dNG
EMAIL
(0 . Cj;i0 v er-
CITY
STATE
,�'7 ZIP
t U
NAME 60 V'- e;45—,
PHONE
S �!
MAILING ADDRESS � � � � ., A, 0
/ f
/� /b`f56
696 S
W
CONTRACTORSTAT
CITY ' l
}y�
W�
ZIP q®@ �
FAX
WA STATE CONTRACTORS LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MA1LrNG ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
D OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
-
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. Y 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 retiance of the city, including its offacers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATUR ��. .... _ DATE
PRINT NAME•
Bulletin 9100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
to
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offtxture to be installed or relocated as part of this M jt5c . Do not include eristingibctures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comm—wj
BOILERS FURNACES HOT WATER TANKS (ass)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Occupancy Group(s)
L,,Ake- Y,9vglj
2-1 �d G d
Additional Information
Square Feeta
.
$
Indicate how muny of eache o
uture to be installed or relocated as art o this ro ect. Do not include existin res 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 (Mtchcn/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXT MES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Occupancy Group(s)
L,,Ake- Y,9vglj
1-9�lrzr
Additional Information
Square Feeta
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes %-No
O Yes Y -No
�:J)IN4
FOR OFFICE USE
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Stories
Additional Information
Square Feeta
NEw BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT
IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Stories
Additional Information
Square Feet
Mae
TOTAI. BUD.DiNG '.
i .: ii
:'
TENANT AREA ONLY
Bulletin 9100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application