02-102323 • 411
City of Federal Way
Community Development Services Building - Multi Family Permit #:02 - 102323 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE APARTMENTS
Project Address: 1617 SW 309TH PL Parcel Number: 122103 9006
Project Description: MF-Replace 10 ft.wall in#1617
Owner Applicant Contractor Lender
Forest Cove-388 LIe INTERSTATE ROOFING INC INTERSTATE ROOFING INC NONE
1703 SW 309TH ST 15065 SW 74TH AVE INTERRIO77KK 10/18/03
FEDERAL WAY WA 98023-4389 PORTLAND OR 97224 15065 SW 74TH AVE
PORTLAND OR 97224 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
IOccupancy Group: -
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): r I
Census Category 434-Residential alt/add-no, Mechanical No
Plumbing No
PERMIT EXPIRES December 2,2002,IF NO WORK IS STARTED.
Permit issued on June 5,2002
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 Wa .
Owner or agent: . .GAG'. - i/ FDate: ��
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kk 4CON - C;I ION PERMIT APPLICATIC
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9,-ibi°h� APPLICA I I NUMBER: a_ Q aa t 3-,�
Eby `t'` APPLICATION NUMBER: _ _ _ _ _ -
'-. i 14, APPLICATION NUMBER: _ _ - __ __RECEIVED
**The following is required information-Please print(in ink)or type* a 53- tom 4/- CH„p
Please note: Electrical,Fire, eloLa�Maims and Engineering permits may require a searate application. d '
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.. , . '::% - M f?f7Q RTY INFORMATION . . . 0
GDEPT.
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: -
Ifo17430Ct''- 6T #I4
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
ti ;:iy"-- ,! ..`.. f.-.tT� - a. .= 3.ii<'PROSECT INFORMATION . _
TYPE OF PROJECT(This application): ErBUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION
• ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description 10 + IJ1L11 I h 1_1,013 -ft la, r )
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PROJECT NAME: T VrP<4- Ca&
.~ :-� f 1' i• ;1 " 1r tAll-PEOPLE INFORMATION ' e PROPERTY OWNER: NAME: DAYTIME PHONE:
tilt
Ma jn1t i! # D (%53 ) 8 7140O
MAILING ADDRESS(STREET ADORES`.';QTY,STATE ): goo lei q7 61
clBLIS Sa) Em V1
CONTRACTOR: NAME: } DAYTIME PHONE:
nfier5 � I O6
i
J- ( 2o(a ) 7(02 4334Q
MAILING ADDRESS(STREET ADDRESS;CITY,STAT IP): EVENING PHONE:
150 (a5 SW - TL Ave. 1 or+land oR al2Z4 (5o3 ) (A4 -5!011
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (503 ) fad- 05(0
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
31- I /
DAYTIME PHONE:
APPLICANT: NAME:
Infers- .t 1204i
(4(0 ) -7(17 13?
MAILING ADDRESS(STREET ADDRESS;CITY,ST ZIP): EVENING PHONE:
'15NA 5W 14'x" A-v€ Piliu.Ili IOP a7ZZi-t (6-o3 ) la VI -5b(/
RELATIONSHIP TO PROJECT: FAX NUMBER: y�
CI ARCHITECT ❑ TENANT 1:1 OTHER(DESCRIBE): (50 5 ) 061 - 3tE0
E-MAIL ADDRESS: r
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR MOO•Ifltt((S1iG 1•DbrI,n t
.. :. " ■ DETAILED BUILDING INFORMATION • •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ d'
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $_ di C/4TI V
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTR •N ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLIN eRICE: $
■ PROJECT FLOOR AREAS :
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Ns-
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(
BBQ(S) FAN(S) HOOD(S) WOOOSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC El GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
■-.DISCLAIMER/SIGNATURE BLOCK _ -X _ '
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,•
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made.
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the Cit)
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accur
of the information suppliedp� to the dty asJ/a part of this application. �. /
NAME/TITLE: �'�`t��0,�C�, 60,4/1 w f, / G (&q4 I,6CCII(V"f!L? DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR:OFFICE:USE ONLY:
LiNEW , ]ADDITION O ALTERATIOu .- • _REPAIR ❑'TENANT;IMPROVEMENT '
CENSUS CODE: tOTIZE _
ZONING DESIGNATION: _ t-BUILDING SHELL'ONLY? E:YES .•❑ NO '
COMP:PLAN DESIGNATION ' 'BASIC PLAN? `❑YES ' NO
SECTION , TOWNSHIP RANGE' .,' NEW.ADDRESS REQUIRED?-! ❑ YES ?. ❑.NO
,.PLATTED LOT?. ❑:YES ❑ NO CHANGE OF USE? ;'❑YES :I.❑ NO.'
ODMMUN[TY DEVELOPMEM SERVICES•33530 FIRST WAY SOUTH-P.O.BOX 9718•FEDE-RAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
•Construction Permit Fee Cal(.tion Sheet
l *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMI
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$23.50
(2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 pus$3.05for each OdidonalS100.00or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for each additional$1,000.00 or fraction thereof,to and k eluding
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$391.25(or the first$25,000.00 plus$10_JO laread additional$1,000.00 or fraction thereof,to and Including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$643.75(or the first$50,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to and k,duding
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$993.75 for the first$100,000.00 plus$5.60 for each additional 51,000.00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,233.75 for the fist$500,000.00 plus$4.75 for each additional 1'1,000.00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,608.75(or the first$1,000,000.00 plus$3.65 for each additional S1,000.000r fraction thereof.
Botd number is the base fee for the specified increment
Italicized,underlined numb Is-the fee per additional speared Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above.
** Electrical,plumbing,and mechanical fees are calculated separately
oz&,-z.- ...s;rsr4: . _'"'^' _' s:'"':�:<Pv •$'- i;"«z'--l-BUILDING3x.: �.i`7 '+suc••s .4�.�.T :. c3`;.�."YE3 '3'+M: s�-�-+�-."' >mac._
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PROPOSED VALUATION: /J/ � �'
FEE FACTOR FROM TABLE A: Number: ( 3) (a)Base Fee: 6D9•2>
(b)Additional Increment Fee: e
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
s:•. _ F~1.: • r> 'Yf :--■•MECHANICAL•; - -"-4 A Y. . . . . s
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
1 FIRE PREVENTION SYSTEM b
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■'PLUMBING • ......
Base Fee Number of Fixtures
$21.00+( X$7.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Page one): Line(5)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
CONSTKUCTION PERMIT APPLICATIC
NUMBER:
PPLiCATION NUMBER:
JUN O 5 2002 APPLICATION NUMBER:
* *The folloEwiip� ►wired information - Please print (in ink) or type* 40
F .ED P ms and Engineering permits may require a searate application. '7 P
Please note: El (P�I�►�ion systems 9
t5 INFORMATION
SITE ADDRESS: ;�������SSESSOR'S TAX /PARCEL #: _ _ — _ -" _ - _ -. _
/(00S'5p3oqth 5T 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): 99rBUILDING ❑ PLUMBING ❑ MECHANICAL ET-6-EMOLITION
. AWLECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
nonlFrr nFSrRTPTION (Provide detailed description):
PROJECT NAME: Fore. l�i1l e- i!D 7 - -
PROPERTY OWNER:
CONTRACTOR:
4
UHT I linc r.VMG.
(&3 ) U0 7g00
MAILING ADDRESS (SI KEt1 AUVK J. ^
f1VT , 6a D n n7LIn
NAME: In t-er6jjj��J b
DAYME PHONE:
(to(,p) 7( 02 433(a
n
MAILING ADDRESS (STREET ADDRESS; CITY, STA P): I �f O� %� /J
i 5 0 Sw -74 71! "i LL�
EVENING PHONE:
(5o 3) W 4 -5(a I l
CIT Y OF FEDERAL WAY BUSINESS LICENSE NUMBER:
- - - - -
FAX NUMBER:
- - - - -
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE:
APPLICANT: NAME:
T -� �oA
MAILING ADDRESS (STREET ADDRESS; CITY, 5
SW 144- Ave-
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT
DAYTIME PHunt:
(14 ) -W
nq FAX NUMBER:
❑ OTHER( DESCRIBE): (50 5 ) W - W
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
EXISTING USE:
PROPOSED USE:
❑ APPLICANT ❑ CONTRACTOR
EXISTING BUILDING ASSESSED /APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: I�®
E UIRED• ❑ YES ❑
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /R Q
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW =f4U TIAL CONST ON ONLY **
OF BEOROO ESTIMATED SELl1NG PRICE:
FLOOR
EXISTING . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATEI
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) El ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, a
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. l
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in f
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accur,
of the information supplied to the city as a part of this application.
NAME /TITLE: �'r`t/r� (��C'f /C� � r��� EC� / 6 Plb,' DATE:
❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR
(J "v
COMMUNITY DEVEI.OPMEur SERVICES • 33530 FIRST WAY SOUTH . P.O. BOX 9718 • FEDERAL WAY, WA 98063.9718.253-661 -4000 • FAX: 253-661 -4129