09-102542 r
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i City of Federal Way
Community Development Services Permit #: 09-102542-00-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 APARTMENTS-UNIT 913
Project Address: 134 S 332ND PL Bldg 9 Parcel Number: 172104 9121
Project Description: Replace hot water tank
Owner Anolicant Contractor
KING COUNTY HOUSING AUTHORITY COVE EAST APARTMENTS KING COUNTY HOUSING
15455 65TH AVE 5 33030 1ST AVE S 15455 65TH AVE S
SEATTLE WA FEDERAL WAY WA SEATTLE W 98188
98188-2534 98003
Water Heaters 1
PERMIT EXPIRES Sunday, January 3, 2010
Permit Issued on Tuesday, July 7, 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: 53)--z„0„p.-0.--,0 ---Alt5e5 -- Date: 7- '?-o ?
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THIS CARD IS MAIN ON-SITE•
CITY OF Construction ection Record •
Federal Way INSPECTION REQUE TS: (253)835-3050
•
PERMIT#: 09-102542-00-PL Address: 134 S 332ND PL Bldg 9
Owner: 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.
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 _ 1 Date 7_ /7 .. 0
•
•
•
•
•
For inspector reference only
O Rough Electrical 0 • FINAL-Electrical
Approved Approved
By Date By Date
` . . 4111E _ / 02- 512_
.Federal `°4 �EI�/ ERMIT - -
' COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EI 'I DE EN FP
33325 8u AVENUE SOUTH'
RAL PO14 OX 9718
L
0 7 2r.) APPLICATION TD
2E3D-8E35-26W0A7•Y,FAXWA 2593B0335.-927
/ /
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The folCiritYisG*ugEDbRAljptW AiYincomplete application will not be accepted. Please print legibly(in ink)or type.
a PROPERTY INFORMAT ON 3 Zp V .
SITE ADDRESS_ /3 Y .5 t 3 '/P t'& `) / 3 SUITE/UNIT# ( / 3
ASSESSOR'S TAX/PARCEL# / 7 2 I O ,41 - 9 I 2, 1, LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmipdon)
TYPE OF PERMIT 0 BUILDING (1)1LUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on.this permit onitl)
g P(-I4C-,I✓(5- /-/o7- 1,4)147-E .0 7--4A'IC /A., .4/° r 9 1 3
PROJECT NAME(Name of Business or Owner Last Name) C-0 v E E 4,S7- 4/°"9"27--"1 e ti7-5
• PEOPLE INFORMATI•MIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
PROPERTY NAME PRIMARY PHONE
OWNER )C i AI 6- co 14...,6,Ts hie Pt;/A,6- A k 7-1/04 r T�/ ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
/s- Y f S S-" .4.1/5 . 5. 5E4*,-LE, i.e.'"? 98a S 13
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS I/1 5 CITY,STATE,ZIP CELL PHONE
916( -
CITY OF FEDERAL WAY INE S (CENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANTNAME OFFICE PHONE
Cove E-457 .4/°75. ,TrfryEs g. 6:7-xc,.vs0.0 (XS-3 )93-2 -6020
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
330,30 /5r/t✓E. f. I e pet wry/ w/i. 980o3 (2-3'3 ) X66 - 73/y
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant KAgent 0 Other (273 )E3 35 -6 96 5--
PROJECT
`PROJECT NAME PRIMARY PIIONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW.19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
. ( ) _
■ DETAILED BUILDING INFO' '1 ATION •
l
EXISTING USE el K i-T I P4/'1 i '-Y PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
•
SPRINKLERED BUILDING? ❑YES Rl O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES liI4
WATER SERVICE PROVIDER aeI.AKYEEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .
SEWER SERVICE PROVIDER tBlAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREA' r r w
1
AREA DESCRIPTION EXISTING PROPOS . TOTAL --‘"—
BASEMENT SQ. FT. Se. T. SQ. FT. -1
FIRST --i
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
sxMIN° PRO OHED TOTAL TOTAL EXISTING HP , PROPOSED SrTOTAL SP
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(commere a'
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo( LAVS(Rothroom sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS lfoueq
X 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 campiian:ce with Iocal,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: C---- DATE 7- 7-O Cf
Property Owner and/or Authorized Agent
t ;s
a NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT }
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO - 1
ZONING DESIGNATION CHANGE OF USE? a YES o NO 1
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO )
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO i
• .ssemesma , r
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Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application