16-102693 Plumbing
Community
City of&Econ.FederalDev.WSayervices
Permit #: 16-102693-00-PL
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 BUILDING 3 UNIT 304
Project Address: 127 S 331ST PL Bldg 03 Parcel Number: 172104 9121
Project Description: Replace electric water heater
Owner Applicant 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, November 29, 2016
Permit Issued on Thursday, June 2, 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 or agent AO Date: C�Z
76
tngt
THIS CARD IS TO ' ': , I ON-SITE ,
err,► Construction Ins 1 tion Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-102693-00-PL Address: 127 S 331ST PL Bldg 03
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) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
, .
El Final-Plumbing(4075)
Approved
By I.N Date 621)7)/(0
❑ Rough Electrical ElFinal Electrical Right of Way
Approved Approved ElRight
By Date By Date By Date
(‘' I CMZ t � 3
_ 'art of, lb ERMIT
Federal WayD co ME DE t#N,
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.cityoffederalwau.co,n M 0 2 2016
CITYOFF b . :
SITE ADDRESS
CDS t t 1 SUITE/UNIT#
I Z� 5 33 I s �L �� 3t( JCS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#$ r
'"?e,7(2, o a l 7 7 ) O Y - -/ / 2 1
TYPE OF PERMIT 0 BUILDING Li"PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeowner Last Name) C-0 V E E g S% /°R -'c 741 it! T r
PROJECT DESCRIPTION R E F q / ` Jia r i-''9 re R 7 N k< J A, ,�"7. � ) 1
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER u.N77 </o g-c.s" /¢..t r4•0.4 7�
MAILING ADDRESS E-MAIL
5-S1.17_1- ?H�'i: ,,�.1. SF 4TTu,"5 8•61" 9 8/�
CITY STATE ZIP
NAME
PHONE
1 N fdo s c E ,W,49 7 ' •ff 211 -8)g- 6S6
MAILING ADDRESS E-MAIL
CONTRACTOR 3 0 30 /sjy re. f
CITY STATE ZIP FAX
F4 p 4E/Z a& 0/11*y w* 0o3 2-3-?-8349 -15 5-
WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
NAME 5
,A PHONE
Cb
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
0 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: _ DATE 446f
PRINT NAME: 7/3 &f 2, *Tic 1.4.15
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
9
1111110 ..
h r- c ua t a a ,♦ rr nr s c Mtyyt t i r t a
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture 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(ca.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
P)LU`ltiB*4,MTURE,
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not Include existing frxtures 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/utniry) X WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES I TOTAL FIXTURES
GENERAL Iri-FORMATIoN,. "
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR. VALUE OF EXISTING IMPROVEMENTS
L.42lrE 4141e6.J L4K4 HAIr�.J
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
�"++ti�r/ g.4.41/.-,,,v /(oµst�b Li Yes�No ❑ Yes -1 o
'RESIDEN'T1AL NEw,OIZ DDITI II F
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
................ ... . .....
BASEMENT ,
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECI£-
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**.rvsw'roms ONLY
i ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMIVIERCtAL STEW/A DITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet p y Additional Information
Type Stories
NEW BUILDING
ADDITION
COTVIIVIERCIA --REMC}I3EL/TEIN T.�MP,IIOv MEI�FTs
AREA DESCRIPTION a Occupancy Groupie) Construction #of Additional Information
in SquarAree Feet Type Stories
TOTAL BUILDIN4 '`
TENANT AREA ONLY
PROJECT AREA ONLY
I
Bulletin 4 100-April 14.2010 Page 2 of 3 k:\Handouts\Permit Application
1