23-102871City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
'Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NORTHVIEW TERRACE APARTMENTS BUILDING A
Project Address: 1412 SW 312TH ST
Building - Multi Family
Permit #:23-102871-00-MF
Inspection Request Line: (253) 835-3050
Parcel Number: 072104 9203
Project Description: Fire damage assessment only for unit A-7. **No construction work approved with this permit.
* is
Owner
Applicant
Contractor
Lender
SHAMROCK LLC
CHRIS BACUSPACIFIC
9133 112TH AVE NE
ENGINEERING TECHNOLOGIES
KIRKLAND WA 98033
2150 N 107TH ST SUITE 320
SEATTLE WA 98133
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.)
Additional Permit Information
Mechanical to be Included? ..................................... No Number of Stories................................................... I
Is this an Online or O.T.C. application? .................. Yes Permit for Building Shell Only?.............................. No
Plumbing to be Included? ........................................ No
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Saturday, 2 December, 2023
Permit Issued on Monday, June 5, 2023
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
Wash ton and the City of Federal Way
Owner or agent: Date:
CITY OF
Federal Way
Owner's Name:
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-835-2607; Fax 253-835-2609
www.citvaffederalwav corn
INCIDENT DAMAGE CHECKLIST
Phone:
Date of Incident: Date of Inspection:
Site Address: L �j �'--
k.
Nature of Incident/Scope of Damage:
(If the value of 1 damage is greater rl�zn 7 p rcent of the assessed value of the structure, a site plan is required.)
139 ding Posted:
IX NOOCCUPANCY ❑ DANGEROUS BUILDING
Pelr is Required:
BUILDING ❑ G
Plans required: Yes
❑ MECHANICAL
❑ OT14ER
ELECTRICAL
❑ No Plans to Show:
e
Engineering Required: 0/yes ❑ No Specilically:
❑ DEMOLITION
Demolition Complete: ❑ Yes yNo O N/A 2°d Inspection Required: ❑ Yes �No
Permit Application Information Provided to Applicant:
❑ Demolition Permit Application ❑ Building Permit Application
❑ Submittal Checklist ❑ Electrical Permit Application
❑ Other
835- ?/
Inspector Phone Number
**APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS"
RECEIVED S/3af�3
CITY OF MAY 3 0 2023
PERMIT APPLICATION
Federal Way PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
CITY OF FEaRAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenterCcityoffederalway.com
C:.''AMUNV D ELOPMENT
PERMIT NUMBER L _ B E r
_!Z TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1412 S.W. 312th ST.
A — 7
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
RM4200
0? 2 1 0 4_ 9 2 0 3
TYPE OF PERMIT
InBUILDING ❑ PLUMBING ❑MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
North View Terrace Apartments - Damage Assessment
Damage Assessment in preparation for a repair permit.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
McCallen & Son's, Inc. - Grant McCallen
425-822-9752
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
9133 112th Ave. N.E.
Grant@mccallenandsons.com
CITY
STATE
ZIP
Kirkland
WA
I
98033
NAME
PHONE
McBride Construction Resources - Mark Machin
206-617-3536
MAILING ADDRESS
E-MAIL
CONTRACTOR
15100 8th Ave. S.W.
Machin@ mcbrideconstruction.com
CITY
STATE
ZIP
FAX
Burien
WA
98166
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
MCBRICRO99JZ
03/25/25
1600524476
NAME
PRIMARY PHONE
Chris Bacus - Pacific Engineering Technologies
206-281-7500
APPLICANT
MAILING ADDRESS
2150 N. 107th St., #100
E-MAIL
cbacus@pacengtech.com
CITY
STATE
FAX
Seattle
=ZIP
WA
206-281-4611
NAME
PRIMARY PHONE
PROJECT CONTACT
Same as Applicant
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ 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. 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: (/ L - DATE 05/24/23
PRINT NAME: Chris Bacus-Pacific Engineering Technologies
Page 1 of 2
r
N /A VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how mang of each ktjpe of fixture to be installed or relocated as part of this project. Do not include existiggfixtures 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
PLUMBING PERMIT N/A
VALUE OF PLUMBING WORK
Indicate how mang of each ttjpe offExture to be installed or relocated as part of this project. Do not include existinqffixtures 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)
WATER HEATERS (Electric)
HOSE BIBBS SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NO
District
District
8 $ 1,957,340.00
EXISTING/PREVIOUS USE
LOT SIZE IIn Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
R-2 (Apartments)
125,168
7 Yes F No
n Yes K No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
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