22-104420City of Federal Way
FILE
Community Development Dept.
33325 81h Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LIBERTY LAKES CONDOS CARPORT
Project Address: 31003 14TH AVE S
Building - Multi Family
Permit #:22-104420-00-MF
Inspection Request Line: (253) 835-3050
Parcel Number: 430620 0000
Project Description: Post damage inspection request for multi -family residence carport having experienced damage
due to a fire
Owner
Applicant
Contractor
Lender
LIBERTY LAKE CONDO
LISETTE TERRYDEGENKOLB
ASSOCIATION
ENGINEERS
31003 14TH AVE S
600 UNIVERSITY ST SUITE 720
FEDERAL WAY WA 98003
SEATTLE WA 98101
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
0.00
0.00
0.00
0.00
Additional Permit Information
Mechanical to be Included? ................................... No Number of Stories................................................... 0
Is this an Online or O.T.C. application? .................. Yes Permit for Building Shell Only?.............................. No
Plumbing to beIncluded?..... ....................................... No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, 27 March, 2023
Permit Issued on Wednesday, September 28, 2022
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: rm I a r Date.
F��GA
11111�k
CITY OF
Federal Way
PERMIT NUMBER a V _
RECEIVED PERMIT APPLICA'T`ION
SEPO p 20�� PERMIT CENTER 33325 811 Avenue South + Federal Way, WA 98003-6325
Cf 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CM OF FEDER& war
N���OIE6
A _ TARGET DATE
SITE ADDRESS
31003 14th Ave S, Federal Way, WA 98003 �• �—� low ) 04 i h
SUITE/UNIT N
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
RM1800
430620-0000
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
Liberty Lakes Condos Carport Fire Damage Repair
NAME OF PROJECT
Post damage inspection request for multi -family residence carport
PROJECT DESCRIPTION
having experienced damage due to a fire.
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Liberty Lake Condominium
253-946-8959
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
31003 14th Ave S
heatherc@asofwa.com
CITY
STATE
ZIP
Federal Way
WA
98003
NAME
PHONE
KUSTOM US, Imel Wheat III
425.951.0065
MAILING ADDRESS
E-MAIL
CONTRACTOR
5007 Pacific Highway East, Suite 20
CITY
STATE
ZIP
FAX
Fife
WA
98424
WA STATE CONTRACTOR'S LICENSE it
EXPIRATION DATE
UBI #
KUSTOUI847NQ
8/17/2023
604020885
NAME
PRIMARY PHONE
Degenkolb, Lisette Terry
206.790.7594
MAILING ADDRESS
E-MAIL
APPLICANT
600 University Street, Suite 1001
lterry(,degenkolb.com
CITY
STATE
ZIP
FAX
Seattle
WA
98101
NAME
PRIMARY PHONE
Degenkolb, Lisette Terry
206.790.7594
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
600 University Street, Suite 1001
lterry@degenkolb.com
CITY
STATE
ZIP
FAX
concerning this application)
Seattle
WA
98101
NAME
PROJECT FINANCING
Insurance
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19-27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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,
Bulletin #100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
but only where such claim arises out of the reliance of the city, including its offlegtb" a`mbloyees, upon the accuracy of the
information supplied to the city as apart of this application. - ll
4&
SIGNATURE:
PRINT NAME: Lisette Terry, Degenkolb
r
)September 26, 2022
Bulletin. #100 —February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application
INCIDENT DAMAGE CHECKLIST
DATE OF INCIDENT:
SITE ADDRESS: -'� I C)
k►1
BUILDING DIVISION
33530 First Way South/P.O. Box 9718
Federal Way, WA 98063
Phone (253) 661-4000/Fax (253) 661-4129
CASE #
DATE OF INSPECTION: Z
Nature of Incident/Scope Of Damage: VN11'&0q st&ktAR
� 0 QV i VICE V1 A �0.1 k A0 All PP 0AIt) J.16.V%'tlA A s
(If value of damage is greater than 75% of assessed value of structure, a site plan is required)
Building Posted:
❑ NO OCCUPANCY ❑ DANGEROUS BUILDING ❑ OTHER
1.�4. NOT POSTED
Permits Required:
C4 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ ELECTRICAL DEMOLITION
Plans Required: �`1 Yes ❑ No Plans to show:
e;, t W\l AV 1 N :1V1 P,V10i t�'VN-6 e V ►\" ejA` A tin P _ .
Engineering Required: Yes ❑ No Specifically:
Demolition Complete: ❑ Yes No ❑ N/A
2nd Inspection Required: ❑ Yes ❑ No
Permit Application Information Provided To Applicant:
❑ Demolition Permit Application
❑ Building Permit Application
❑ Submittal Checklist
❑ Electrical Permit Application
❑ Other
-PlI10VIAA1 0Q�l
Inspector
(253) U"-
Phone Number
"APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHENAPPLYING FOR PERMITS"
GM11' Off'
V\)Ffi� �-
INCIDENT DAMAGE CHECKLIST
DATE OF INCIDENT:
SITE ADDRESS:
Nature of Incident/Scope Of Damage:
BUILDINgDjVSIQN
33530 First Way South/P.O. Box 9718
Federal Way, WA 98063
Phone (253) 661-4000/Fax (253) 661-4129
CASE #
DATE OF INSPECTION:
I�111(, V� 14( "'�-
f
(If value of damage is greater than 75% of assessed value of structure, a site plan is required)
Building Posted:
❑ NO OCCUPANCY ❑ DANGEROUS BUILDING ❑ OTHER L NOT POSTED
Permits Required:
El BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ ELECTRICAL DEMOLITION
Plans Required: 0 Yes ❑ No Plans to show:
Engineering Required: 0 Yes ❑ No Specifically:
Demolition Complete:
2nd Inspection Required:
❑ Yes No ❑ N/A
❑ Yes ❑ No
Permit Application Information Provided To Applicant:
❑ Demolition Permit Application
❑ Building Permit Application
❑ Submittal Checklist
❑ Electrical Permit Application
❑ Other
i
Inspector
I253) 661- r
Phone Number
"APPLICANT. PLEASE BRING THIS FORM TO THE CITY WHEN APPL YING FOR PERMITS