09-102131 • Plumbing
City of Federal Way
CommunityDevelopm •
entServices Permit #: 09-102131-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 P q
Project Name: COVE EAST APARTMENTS-914
Project Address: 134 S 332ND PL Bldg 9 Parcel Number: 172104 9121
Project Description: Replace hot water tank
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY COVE EAST APARTMENTS KING COUNTY HOUSING
15455 65TH AVE s 33030 I ST 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 Monday, December 7, 2009
Per it Issued on Wednesday, June 10, 2009
I hereby
l that the above tion is correct andfr,,,,F.7i,..c_r_t:i_7,1 1_41:„riaY. _that the construction on the above described pr perty and
occur and the use will be in'ac ordancewith a la> , rules and regulationsof St� f Wash ton ly
Owner or Wit: 6 "
OW
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Owner to � �,. �, ��� a
P14AlA•01) 4tI /(79
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41111THIS CARD IS T MAIN ON-SITE
CITY OF ommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102131-00-PL
Owner: KING COUNTY HOUSING AUTHORITY
Address: 134 S 332ND PL Bldg 9 •
•
FEDERAL WAY, WA 98003-6363
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.
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Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
•
— 0 Final-Plumbing(4075)
Approved
By /4 Date n///j119
/// Il
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•
•
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
/ 07/ 3 /
�Fecleral m
COMMUNITYDEVELO,n: '
IV AllPERMIT SF MF CO ME ELT3DE EN FP
33325 8TH AVENUE SOUTH PO BOX 9718
AP P L I C AT I O
FEDERAL WAY,WA 98063.9718 N TD / /
253-835-2607•FAX 253-835-2 N 1 0 9
www.cittiofferlemlunnt.coM' LU"y
The fol_, , t . is edi oso olitiow Asvincomplete application will not be accepted. Please print legibly(in ink)or type.
. U .PROPERTY INFORMAT•ON .. _ -.
SITE ADDRESS_ 13' 5. 332- f 4- # 9 1 y/ , pe../0 4, L41$Y 9 9003 SUITE/UNIT it n 7 1y
ASSESSOR'S TAX/PARCEL# / 7 Z i 0 11 - 9 / _2 I LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiplion)
0:{�N xyl if�� I'i/:V 4(�I
TYPE OF PERMIT 0 BUILDING I�PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
REF4-4c,A✓6- Ho wis,TE ,e 7-4Nx ..v • ',0-r_ 9 I y
PROJECT NAME(Name of Business or Owner Last Name) C-0 v E E 4 S T if/ar9 R r?-i E "vTS / 4( Li
PROPERTY NAME PRIMARY PHONE
OWNER )C 1 At 6- Lo t.(,N Ty h'o 445/0%,6- A k TY?/e i 7-y ( ) -
MAILING ADDRESS CITY,STATE,ZIP" E-MAIL ADDRESS
/s Y f S— l rTN �4vE . 5- SE.97-7LE, w.9 98,s R
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/ MAILING ADDRESS D tit
5 6 CITY,STATE,ZIP CELL PHONE
4.o -
CITY OF FEDERAL WAY INEE' W
S CENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Co VE 4.4'57 4¢/°7-5. T�+irle.s' R. /¢7-4K/.v5o.l (2_5-3 ),3-z -bozo
MAILING ADDRESS CITY,STATIC.,ZIP CELL PHONE
33ojo /Sri,‘/E- I: AEpE Luc',y, .s0, 78003 (z>'3 ) 2,66 - 73 y
RELATIONSHIP TO PROJECT wFAX NUMBER
0 Architect 0 Tenant XAgent 0 Other (z$-3 ),53 38 -6 96f"
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATI!i,ZIP PHONE
. ( ) -
�l�YV:11A�f�j:i+liil�ll�`lHl�`f gijiATION t
EXISTING USE M w I-T, Fi4,/r a-Y PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YESYElirt0 FIRE SUPPRESSION SYtJTEM PROPOSED/REQUIRED? 0 YES I9'NO
WATER SERVICE PROVIDER I>32AKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .
SEWER SERVICE PROVIDER IIrAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) r"
PROJECT FLOOR AREA)," t y ;, , art .,
>;•:.-4,-,..-2..0 k ry-r 4 ,fir', r '
AREA DESCRIPTION EXISTING PROPOS TOTAL j
BASEMENT SQ. FT. S . T. SQ. FT,
FIRST '."---......„.....„,s......._ I
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EMOTING PRO?OSED TOTAL TOTAL EXISTZNO SF ,L PROPOSED Sr TOTAL SrNUMBER OF FLOORS
"*NEW HOME eNLY** 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 _ a 0 (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(ornb/shower Combo) LAYS man.mu.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet)
X ELECTRIC WATER HEATERS SINK'S WASHING MACHINES
HOSE BIBBS SUMPS
11111111111.1.11111.111.111111 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 Wormation 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: /P ..4,11r--.......'-4.-4-----..
� DATE a-60-0?
Property Owner and/or Authorized Agent
;ice `* 1,0_,�'§f�`.'.7 01,,�4",Et ' C�I,!,',.
V,,1
1, ,itiA r i L;; .t ,"f•,,,;,., b,,4.C: i, 'q-',%;!!:" ,,�
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO ,
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
r PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO 4
'+ Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
• "4 ; .
WO',
°
` 'n,' PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. /TOTAL
BASEMENT---..._�\\
FIRST \_
SECOND \` /�
THIRD �
FOURTH J� \�
ADDITIONAL FL(:ORS(DESCRIBE) //
DECK(COVERED?) /''-�
GARAGE/CARPORT -
HOW MANY COORS? TOTAL EXISTING TOTAL pROPOSED TOTAL EXINTINO AND PROPOSED
**n-1V'HOMES ONLY** P NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
C`i Nk: blb .� 1!SSLyF' ,, ,• `�� .F ;-1,1"..--''' -'.:-. ,, ,
FFk Y �''.I''1 ihr� ,+�A # I•IXTI[I `` # `J 4T.
Ltdtcate,; L,r of r,cl,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 $ e? GLI. J
AIR HANDLING UNITS EVAPORATIVE-COOLERS'''' GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
B,ITIITU' S i,,,n i . cood,,,i SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISI I','. HE SINKS DRINKING FOUNTAINS
GAS I'G'1 OLTLLTS SUMPS RAINWATER SYST
WASHIN(.MACHINES URINALS HOSE BIBBS
— LAMS p;.,,I 1o0111 snk„ VACUUM BREAKERS –% ELECTRIC WATER HEATERS
' i"`% nI .r..• R,pyMe).�z>v xls "',4.`'% ..t-. `` ,4,'DISCLAIMER/SIGNATURE BLOCK '*-.
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the rE liance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ___ , DATE ' '/..A G B
Signa ure) ('title)
RELATIONSHIP ':'O PROJEC ' 0 Owner YQ'Agent ❑ Contractor 0 Architect 0 Other 'm 6644 i4wush,.
FOR OFFICE I?",:,ONLY
o NEW n ADDITION o ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? ❑YES a NO
ZONING DES IC r' 1TION CHANGE OF USE? a YES a NO
NEW ADDRE ' ' Ec'f I ft[D? n YES ❑NO UP/SEPA/SU? a YES ❑NO
PLATTED LL 1 ❑YES o NO DEMO PERMIT REQUIRED? ❑YES a NO
1
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Bulletin,,i11)t ' r,.!, AU Page 2 of 4 k\I-Iandouts—Revised\PermitApplication