09-100938 u•
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City of Federal Way
Community Development Services Permit #: 09-100938-00-P L
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: COVE EAST APARTMENTS
Project Address: 110 S 332ND PL APT 1301 Parcel Number: 172104 9121
Project Description: Replacing hot water tank
Owner Annlicant 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
Water Heaters 1
PERMIT EXPIRES Monday, September 7, 2009
Permit Issued on Wednesday, March 11, 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: ---w...---- .— Date: 3— /1 --c'
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THIS CARD IS TO EMAIN ON-SITE
•
CITY OF kommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100938-00-PL
Owner: KING COUNTY HOUSING
Address: 110 S 332ND PL APT 1301
•
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) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
— 0 Final-Plumbing(4075)
Approved
By C Date •/2 CY, •
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
•
Approved Approved
By Date By Date
Y
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Federal Wa c�
rd `�; - ERMIT SF MF CO MES ICD)E COMMUNITY DEVELOPMENTS C
33325 8re AVENUE SOUTH•PO 810X g
FEDERAL WAY,WA 98063-9718 APPLICATION- TD
253-835-2607•FAX 253.835-2609 1
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The following is required jnfo t n )tzDlete application will not be accepted. Please print legibly(in.ink)or type.
- a - r 1--1
• PROPERTY INFORMAT ON -:
SITEADDRESSI/ O S. a 3 2.•~v/-L. # /3 d , FED 6124 c .0 yiq ,9 e e'J SUITE/UNIT# 13 0 I
ASSESSOR'S TAX/PARCEL# / 7 2.. l 0 ,d7/ - 9 / 2 ' LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Mach separate page for lengthy legal desaiplion)
■ PROJECT INFORMATI qiumaimaimaimmiim
TYPE OF PERMIT 0 BUILDING 0 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)
REPL,c,N6- hio7 wrtTe.c 7-4A,Ac ..v .¢i°T_ * l30 /
PROJECT NAME(Name of Business or Owner Last Name) C-0 V 6 E 4 S T Al/°,4 i2 TM e NTS
• PEOPLE INFORMATI•
PROPERTY NAME PRIMARY PHONE
OWNER k i nib- C-e• c-",7-y Al0Pt.//Nb- Ac
� Ty 'p4 i-- ( ) -
MAILING ADDRESS // CITY,STATE,ZIP E-MAIL ADDRESS
/f`- v!-S 1 fTk /4-!/E . 5. 5E47-7-ae, w09 98j0f3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS IA
/� 5 CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY INE.�S WCEN E NUUM`BER EXPIRATION DATE FAX NUMBER
)
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
GovE E437 "7,75. T9,`7E5 ,'2, qTK/A/foA) (2-r3 )9x2- -6020
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
33 030 /Sr/¢g/E. S. FE pe,eq� vn,y kVA. 98003 (2.73 ) z6 6 - 73/y
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect 0 Tenant Agent 0 Other (2-S3 )9 3 8 6 965-
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STAIN,ZIP PHONE
. ( )
• DETAILED BUILDING INFO• ATION t
EXISTING USE M, &-T 1 F4M, ay PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YESYE12410 FIRE SUPPRESSION SYtITEM PROPOSED/REQUIRED? 0 YES Iei1-
WATER SERVICE PROVIDER tft'LAKEHAVEN a HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER IrtAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOS - TOTAL
BASEMENT
SQ, FT. S•. T. SQ. FT.
FIRST — -
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) -
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
s/05TMO PROPOSID TOTAL TOTAL EXISTING SI -, PROPOSED el TOTAL ST
NUMBER OF FLOORS
"NEW HOME NLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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.
MECHANICAL
Value of Mechanical Work$ 3 0 0 _ 0 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(or Tub/Shower Combo) LAVS(Bathroomstnlco( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(loud)
„Ne ELECTRIC WATER HEATERS SINK'S 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 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 3-1/-O 7
Property Owner and/or Authorized Agent
4".2., . .S 1 ..L. Y ::" ,{ 1II:tr'-i--,.•%,.eL ,
❑NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO 1
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
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Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application