16-101873r _R� Plu'ing
CityofFederal Way Permit #: 16 -101873 -00 -PL
Community&Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line:(253) 835-3050
Project Name: COVE EAST APARTMENTS UNIT 121
Project Address: 111 S 331ST PL Bldg 1 Parcel Number: 172104 9121
Project Description: Remove/replace existing electric water heater
Plumbing Fixtures'.
Water Heaters ................................. 1
PERMIT EXPIRES Saturday, October 15, 2016
Permit Issued on Monday, April 18, 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.
.. 10V16
Owner or agent: Date:
' 11nalt.
Owner
Annlicant
Contractor
K C HOUSING AUTHORITY
COVE EAST APARTMENTS
OWNER IS CONTRACTOR
600 ANDOVER PARK W
33030 1 STAVE S
TUKWILA WA 98188
FEDERAL WAY WA 98003
Plumbing Fixtures'.
Water Heaters ................................. 1
PERMIT EXPIRES Saturday, October 15, 2016
Permit Issued on Monday, April 18, 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.
.. 10V16
Owner or agent: Date:
' 11nalt.
CITY OF
Federal Way
THIS CARD IS TO REALAIN ON-SITE
Construction Ins tion Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16 -101873 -00 -PL Address: 111 S 331 ST PL Bldg 1
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 (UN Date btl Z5 6
Plumbing Groundwork (4190)
E]
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
E
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By (UN Date btl Z5 6
Rough Electrical
Approved
Final Electrical
Approved
E
Right of Way —�
Approved
By
Date
By
Date
By
Date
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PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South +� 1 98003-6325
253-835-2607 + FAX 253-835-2609 + versniteenterra?citvoffederalway.com
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jry APR 18 mg
PERMIT NUMBER 10 _ t 0 ( � � �_ � L
CITY OF FMERAL WAY
TARGET DATE
SITE ADDRESSi
SUITE/UNIT #
PROJECT VALUATION
$ H1-'0.00
ZONING
ASSESSOR'S TAX/PARCEL #
(
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(0 V5 ST — -- ) t i✓ S
PROJECT DESCRIPTION
( N
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
1<1t-J4Gt�a� �Y K vi/N i7t'OrL�
PRIMARY PHONE
'? -S`7+ fl U0
SLING ADDRESS
h (iU rli?0 u �(1- �it%_
E-MAIL
CITY
STATE
ZIg,
NAME l'. C� V � G�.J /
SONE
S v
CONTRACTOR
MAILING ADDRESSE-MAIL
�� �� SY
p
' U GI' 696 s
CITY ��
W •
�
ZIP 0 2
BO
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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 thee• as apart of this application.
l-�
SIGNATURE:,.- DATE � ! 114
PRINT NAME: ALC !`
Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
M
•
__[V LUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing tures 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
�vlaN �
r
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
x :....
ESTIMATED SELLING PRICE $ # OF BEDROOMS
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ ?^, qv. G 8
Indicate how many oreach type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remail
BATHTUBS (or Tub/Sho— Combo)
LAVS nimdSinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
LAkC-
}-1,9vgl'j
Lg N4vei 'l
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NWI--, _VF4/S )L
❑ Yes JLNo
❑ Yes [_No
�vlaN �
r
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
x :....
ESTIMATED SELLING PRICE $ # OF BEDROOMS
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application