16-102694 111
Plumbing
City of Federal Way Permit #: 16-102694-00-PL
PL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,wA ssoo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835 2609 p q
Project Name: COVE EAST APARTMENTS BUILDING 3 UNIT 301
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
•
PlumbingFixtures
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 an. •= se will be in accorsance with the laws, rules and regulations of the State of Washington
d he City of Federal Wa
Owner or agent rs lerw vv Date: (D/24/(t�
THIS CARD IS TO ON-SITE
� � Construction Ins tion Record
Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-102694-00-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.
❑ Plumbing Groundwork(4190) Rough Plumbing(4230) -❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
Final-Plumbing(4075)
Approved
By A.f1/4) Date & I l 1
0 Rough Electrical CI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
Federal Way elPERMIT MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION ��'�D
253-835-2607•FAX 253-835-2609
evww.ci tuoffedernlwa u.corn
rUN p , 2016
Cny
SITE ADDRESS Or r�✓l;�) SUITE/UNIT#
2:- . 5#33(54 2/ . . 3 C 1 CpS 4. AY I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ •47‘.7P• 0 a / 7 Z. / P Y - -/' / '_
TYPE OF PERMIT ❑ BUILDING ErPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) G p V E tr 4 S% '/°.4 .T41. -N r-S
PROJECT DESCRIPTION R E r°i-og c s �G Wo T 1.4),/rf=/t' T F4 Al k< /a 4,roj- 30
Detailed description of work to
be included on this permit only
1
NAME PRIMARY PHONE
PROPERTY OWNER k I No-- Go c.c./VT/ /la Pt-..r m/6- 41 KTL/a4 i77
MAILING ADDRESS E-MAIL
/ y.rS 4"5- ii/-,,E,.f'. S6 47r4-/r `?g/8 8
CITY ' STATE ZIP
NAME PHONE
/ IV fdo u--5 E .t/i'V'AvrEi✓4- ' Zf'.) - ?3g. 6J-6' y
MAILING ADDRESS E-MAIL
CONTRACTOR 3.3 o 30 /Cry-re- ,f';
CITY STATE ZIP FAX
FED .2gc. evr}y I pa '' 0oo3 2.50-836 -65'6,5-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
S;cu. a_5' 0 vt-eAr-
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
[] 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: C- - �i�_ _ DATE 6/..-/ic
PRINT NAME: .7;g M�-f /2.... xt.7--x/•✓5 a.✓
Bulletin#100-April 14,2010 Page 1 of 3 k:\l-Iandouts\Permit Application
.9
0 .'
0 - . ,. '
VALUE OF MECHAMCAL 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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
*
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.
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) X WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL.INFO ATZO1 :.
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
F L4KE f/4✓e,.t) Li¢K6 yAtrd.t)
$
1 EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
+r`•rrtitri.x.v yl.y koµs iib ❑Yes Er-No ❑ Yes ti-'No
r l i`smiI�ITI Nis(ItADIITIO
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'I BASEMENT' ;
FIRST FLOOR(or Mobile Home)
I., SECOND FLOOR
COVERED ENTRY
DECK€.
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals
sTiNG PROPOSED TOTAL
.. ....
**NEW HOMES ONLY**
iESTIMATED SELLING PRICE$ #OF BEDROOMS
CQ1 :C L EW/A DDIf()N4 •`,
. tru Stories.
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet p Y p( ) Additional Information
Naw BUILDIN(#
ADDITION
CCM:EkOt IL .PbttatN0"1`; R°Yt&ILNTS,'
AREA DESCRIPTION Area Occupancy Grou s Construction #of
in Square Feet p Y p1 1 Type Stories Additional Information
TOTAL,BUILDIN -';
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application