09-102130 4 City of Federal Way • Q Plumbing
CommuniyOvelopmBox entServices �8 ep. a3 Permit #: 09-102130-00-PL
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: COVE EAST APARTMENTS- 1207
Project Address: 122 S 332ND PL Bldg 12 Parcel Number: 172104 9121
Project Description: Replace hot water tank
Owner Arrulicant Contractor
KING COUNTY HOUSING COVE EAST APARTMENTS KING COUNTY HOUSING
15455 65TH AVE S 33030 1ST AVE S 15455 65TH AVE S
SEATTLE W 98188 FEDERAL WAY WA SEATTLE W 98188
98003
i$
Water Heaters 1 •
PERMIT EXPIRES Monday, December 7, 2009
,-Peralit Issued on Wednesday, June 10, 2009
I hereby fy that the above information is correct and that the construction on the above described property and
I� wit*,, e laws, rules and re ulatis ofd S taf hington
the oc� and the use w� � accordance g
and 'of, Viral Wal
Owner ort ®- of
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THIS CARD ISTMAIN ON-SITE ._f
CITY OF ommunity(IPDevelopant Inspection RecOrd w
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102130-00-PL
Owner: KING COUNTY HOUSING
Address: 122 S 332ND PL Bldg 12 •.
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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) Ei Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
Final-Plumbing(4075)
Approved
By 7)31----Date A/0
.
•
•
I For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
I CITY OF
41111 .
469 _ / 0 Z /,__ c3
k Fecleral way PERMIT
'COMMUNITYDEVELOPV Es �� V SF MF CO ME E PL DE EN FP
3332E D AVENUE SOWAA d-9e P L I C A T I O l�
FEDERAL WAY,FAX
53-83.26p TD /
253-835-2607•FAX 253-835-26 9
Www.tiliiu/5Jemlwrn coin�UN 1 0 20 c 9
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
M 11 ft, • . • ,
PROPERTY INFORMAT:ON p -
SITE ADDRESS_/iZ Z • 33 Z /�.. ii 12 o 7 FEDI.C�L 4tl#)" w i gB.0a SUITE/UNIT# 1 Z D 7
ASSESSOR'S TAX/PARCEL# / 7 2 1 0 ,'I( - 9 / _.2, i LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desalptlon)
■ PROJECT INFORMATIZIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TYPE OF PERMIT 0 BUILDING C LUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
RE Pi-/4G//✓6-- Wo i 14)147-e ,e T 4A,k /N -4/07'_ I ZO /
PROJECT NAME(Name of Business or Owner Last Name) C-0 V 6 E 4 S T At/6',9/2 T/41 E NTS /dN b 3-
MI PEOPLE INFORMATI•
PROPERTY NAME PRIMARY PHONE
OWNER k / Ar(r- C-or.Ln,7-/ f:'oxi/.v6- Ak7-410,C, /7- ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
l)- yf-S / rTa .9rE . s. 5E.47'7Le, wA Sg/sA
CONTRACTORCOMPANY NAME APPLICANT NAME OFFICE PHONE
' p ^/J� MAILING ADDRESS D r A 5 CITY,STATE,ZIP C ELL PHOU V� _
/ CITY OF FEDERAL WAY INES JCENSE NUMBER EXPIRATION DATE FAX NUMBER
1 A ) ( ) -
\IL CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Co ve 6-457' 41,7-5. ,-,9#° ; /2, 4:r v s o nJ (2 5-3 )9 3-4 -6°z o
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
33 0 I o / '8 . 5, FE'peo-cc- w.¢j•/ w/o. 5,9‘,03 (z)-3 ) z6 6 - ?3/y
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant (Agent 0 Other (273 )1?38 '6 94.r
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW.19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATIis,ZIP PHONE
- ) —
l
■ DETAILED BUILDING INFO• ATION
EXISTING USE Al w •-T/ ,=4,/-7/ 4-Y PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ L
SPRINKLERED BUILDING? 0 YES lititO FIRE SUPPRESSION SYLITEM PROPOSED/REQUIRED? 0 YES Wig
WATER SERVICE PROVIDER IBIYEEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER cietAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOS e TOTAL
BASEMENT
SQ. FT. S e. T. SQ. FT.
FIRST —�
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 a
/ =wow PRosTOTALu rorToraysrnvaer arxoraasnsr 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$ 3a 0 _ o o (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(ornlb/shower combo( LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS lroilct(
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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 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 lie 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 a---/0-D `f
Property Owner and/or Authorized Agent
a NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO P
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES a NO �'
3 PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
v ,
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application