09-103041 • nCity
of Federal Way • Plumbing
•
▪ Community Development Services Permit #: 09-103041 -00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: COVE EAST APTS UNIT 1322
Project Address: 110 S 332ND PL Parcel Number: 172104 9121
Project Description: Replacing hot water tank
Owner Applicant Contractor
KING COUNTY HOUSING COVE EAST APARTMENTS COVE EAST APARTMENTS
15455 65TH AVE S 33030 1ST AVE S 33030 1ST AVE S
SEATTLE W 98188 FEDERAL WAY WA FEDERAL WAY WA
98003 98003
1 Fixtures E a
Water Heaters 1
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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: g.-a.
�i ��
(6./7"/199
THIS CARD IS TO REMAIN ON-SITE
.4 :
my '"` Construction Lection Record r
• Federal WayINSPECTION RE UESTS: (253) 835-3050
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PERMIT#: 09-103041-00-PL Address: 110 S 332ND PL •
• Owner: KING COUNTY HOUSING 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 L W Date 8. 7. 09
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• For inspector reference only
• 0 Rough Electrical . 0 • FINAL-Electrical
Approved Approved
• By Date By Date
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. 'Federal Way 6 P E.R M I T I
COMMUNITYDEVELOPM���s SF MF CO ME EL® DE EN FP
33325 FEDERrti AL
WAY,NUE WATI�O IB EiVW P L I C AT I O N
FEDERA2 07Y,FAX
To /
253-835-2607•FAX 253-835-2609
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMAT'ON .. '
SITE ADDRESS //D „g14-5 -k'1)1'/iOLr FEpeRR- Wo-y evx . 90o°) SUITE/UNIT# 1 3 Z-.
ASSESSOR'S TAX/PARCEL# / 7 Z / O 4{ - 9 / 2. ) LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiptlonl
- ■ PROJECT INNF�FORMATI+�
TYPE or PERMIT 0 BUILDING field/MBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
RE lay-4C-IA,6- NoT I4)/97-E .0 -4.,K /.v ff/°'T_ ? 32k
PROJECT NAME(Name of Business or Owner Last Name) C-0 V E E 4 S T i4 fir'?/e TME NTS
• PEOPLE INFORMATI•MIIIIIIMIIIIIIMIIIIMIIIIIIIMIMIIMIIIIIIII
PROPERTY NAME PRIMARY PHONE
OWNER )C / N(r- G°it.n+T7 h/014f/0v6- A' Ty pie r7- ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
/j9- Y f-5 4 1-T'' .4 'E . S. 5E47'7-Le, wA 9 el a 53
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS IA
/� S CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY INE�S,.IC N E NUMBER EXPIRATION DATE FAX NUMBER
) ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
'CovE E/957 , /57.5. T9hes /2. .STK/NSo..) (1 -3 )9s- -bozo
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
33 0.T0 /S'/9"✓E• f X E pe.e.ge. wr y/ wA. 980o3 (z,3 ) 7,6 6 - 731 y
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant (Agent 0 Other (273 )e 3, 6 g6.r
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW,19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE:,ZIP PHONE
( ) -
l
■ DETAILED BUILDING INFO' I ATION
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EXISTING USE M ' .-T 1 F4 fr,r 4-Y PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YESYE12410 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES BigtS
WATER SERVICE PROVIDER 'LAKEHAVEN ❑ HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER t8'EAKEHAVEN ❑ HIGHLINE 0 PR VATE(SEPTIC) e
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOS % TOTAL
BASEMENT SQ. FT. S T. SQ. FT. I
1
FIRST � -I
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 / ---
RQ9T1NO rao009aD TOW. TOTALEal9TIN08r PROPOSED TOTAL
NUMBER OF FLOORS
"*NEW HOME NLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 300 _ 00 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTrb/9hower Combo) LAVS(Bathroom swr.,) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toner)
ELECTRIC WATER HEATERS SINK3 WASHING MACHINES
HOSE BIBBS SUMPS
IIIIIIIIMIMIIIIIIIIIIIMIIIII SIGNATURE
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 thus 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 he 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 -6-o 9,
Property Owner and/or Authorized Agent
.p .r. t .,,,,,,. ,:•.,,,t-.,-*; +a i r .,'''''µM::
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES Cl NO p
ZONING DESIGNATION CHANGE OF USE? a YES o NO _,./
w
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO —4I
e
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application