11-100594 ,
City of Federal Way w Plumbing
Community Development Services Permit �: 1 1-100594-00-P L
InspectionRequest Line: (253)835-3050
P.O.Box 9718
111111' F I E 11111
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: COVE EAST APARTMENTS
Project Address: 122 S 332ND PL Apt 1201 Parcel Number: 172104 9121
Project Description: Replace electric water heater.
Owner AnDlicant Contractor
KING COUNTY HOUSING AUTHORITY COVE EAST APARTMENTS KING COUNTY HOUSING
15455 65TH AVE S 33030 1ST AVE S 15455 65TH AVE S
SEATTLE WA FEDERAL WAY WA SEATTLE W 98188
98188-2534 98003
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Water Heaters 1
PERMIT EXPIRES Tuesday, August 9, 2011
Permit Issued on Thursday, February 10, 2011
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: — -f c °71,
z5
THIS CARD IS TO AIN ON-SITE r
�rr,roF 0" 4111 Construction In tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-100594-00-PL Address: 122 S 332ND PL Apt 1201
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA 98003-6363
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
.
0 Final-Plumbing(4075) '
Approved
By.�� Date `a—i5_l1
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Federal ' E R M I Z' CO ME EL DE EN FP
COMMUNITY DEVELOPMENT SERVICESCE3 V A C A'T I O N
253-835-2607•FAX 253-835-2609 `` ,�
www atuoffederafwau oout �Q� Y•• _
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SITE ADDRESS
/z Z s.. 3 3 i P/°'- • i.Z.o L f-eDE eq i✓•9y sv''9 9Bo 03 Lo c(( f
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
Z O l 2 / U y - l Z 1
crit . gWitegas t i " 1 g "',trkA OMit„e
NAME OF PROJECT
(Tenant or Homeowner Name) G o v C4.57— ,9P"TS
❑ BUILDING PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
E /' ><1 c i .v W a 7- w re 2 7',9A)K /N i9/4'7*t 42_0 I
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
u ' � � F"
wk* ,, Y f •
NAME PRIMARY PHONE
PROPERTY OWNER )c /n1 b L o w.✓ry NA L-I-,f/.v 4 TH o 2/ T y ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
/ s- yrs- 6Jr's/ VE. S. 5E.9T7LE/aJR_ 98/F3B
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
/ Hem—It (ZS .3 ) z66 - 7.3 /c�
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
3)030 /sr-Air�. 3. f-E/eR•Pc .tiFty, 1,0A 9800; Lir.) )e/8 -/o5`6J-
WA STATE CONTRACTOR'S LICENS&# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
/ /
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME o OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE /
PRINT NAME: .T,'9 M'Sr-5 /' - 7`•ri•✓f a �✓
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MECIIANICL FIXTURES .
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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
PLUIYMBING FIXTURES..
Indicate number 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 INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ VOO.oO L. RKfN/ o'ei✓ LAKE yp.✓Enl
$
EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
..�r i f,S,,,, 0 Yes 10/.-No Yes 'No
A+
Ay No►tSi.)6-
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
** W Homs OIVLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEEW/AI. DITION
AREA DESCRIPTIONArea Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL.-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application