12-102426 w • nlu`mbing
Cityof FeWay Permit #: 12-102426-00-PL
Communitty&Econ.D ev.Services
33325 8th Ave S
Federal Way,WA 98003 -'� 1 _: es'r:._;
al
Ph:(253)835-2607 Fax:(253)835-2609 ,,,,,, �g
Inspection Request Line: (253)835-3050
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Project Name: COVE EAST APARTMENTS-BLDG 5 UNIT 510 •
Project Address: 135 S 331ST PL Bldg 05 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: .373 j/I Z.-
Ft
Ft KAtots$C b &3
THIS CARD IS TO REMAIN ON-SITE
CITY OF ` • Construction Infection Record '
Federal WayINSPECTION RE U ;STS: (253)835-3050
Q
PERMIT#: 12-102426-00-PL Address: 135 S 331ST PL Bldg 05
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
Final-Plumbing(4075)
Approved
By die Date l./.3 I2
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY
CIV PERMIT I MF
Federal Way RECEIV CO ME DE EN FP
COMMUNITY DEVELOPMENT SERVICES
i
PLICATION
253-835-2607•FAX 253-835-2609
www.cityoffederalwau.rone MAY 31 2012
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
t3S s , )3 # 'T/o1.- I sto ,r'eps Afoc ti/4X oL/i9 9g003 S/ o
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ‘74
,7
c, o o / -7 2 1 0 Y - l 2
TYPE OF PERMIT ❑ BUILDING 24UMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C-p V E ,E 41 5% .fit/° .kr T 5
PROJECT DESCRIPTION C-/ �` 1{o T w/9 r*-/e -7-.4 A/1-< IA, 4,7-4z, 5-70
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER co u4..vr ' N o Pcs r.✓G- "¢Kr{-0•2 i 77
MAILING ADDRESS E-MAIL
/5--4/ G,5--71 g't.f- 5 477- w/4- 98 i8 8
CITY / STATE ZIP
NAME
PHONE
l i XO cLs c 2.0 -9j8- 656 51
MAILING ADDRESS E-MAIL
CONTRACTOR 3 0 3C) sj�re.
CITY STATE ZIP FAX
FED�2AL .is/g y wy- g8 o o3 Z ?-83. - 55"
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
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
El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: _— -r.,�''���_ DATE 0/i L-
PRINT NAME: J9rrt f /Z. Apt 7.Wr.✓$oA)
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• I
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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
P UMfIN `I UREB
Indicatehow manyo
Tubeach r Combo)typpe of fixture to
be installed
(Hand ale)or relocated as part of
this S project. Dnot include existing fixtures to remain.
PIPINGBATHTUBS
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
L4KE f/4r6.1) L.4 1(4 HAeeA)
•
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
1'14 t7/'X4N//cy Areµs i.✓6- ❑Yes Er-No ❑ Yes rtk-4Io
RESmDENTIAI, NEv4i.Olt ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals E1Q371MO PROPOSED TOTAL
**NEW HOMES-ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COlY MERCIAL NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL-.REMODEL/TENANT IMPROVEMENTS '''
AREA DESCRIPTION Area Occupancy Group(%) Construction #of
in Square Feet p y PI i e Additional Information
Typ Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application