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08-104173. f 'k City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 I . r , Building - Commercial Permit #: 08- 104173 -00 -CO Project Name: FOREST LAKE CONDOMINIUMS Project Address: 1003 S 308TH ST Inspection Request Line: (253) 835 -3050 Parcel Number: 82017 0000 Project Description: ALT - Fill in existing swimming pool in accordance with approval by King County Health Department. Owner A 1pp icant Co Lender HELEN KUBIK /'LEN K BIK LO T SES FOREST LAKE CONDO /� F ST LAK C DO LL * 8 /09 ASSOCIATION (TREASURER) ASS IATI (T SURER BOX 89 1003 S 308TH ST S308 ST FED Y W 63- FEDERAL WAY WA 98003 F ERAL WA 3 Mechanical to be Included? ...... .............................No Number of Stories .................................................. 0 Permit for Building Shell Onl y ? ............................No Plumbing to be Included? ...................................... No New / Additional Sq. Feet - Total .......................... 0 No Fixtures Associated With This Permit I! PERMIT EXPIRES Tuesday, March 3, 2009 Permit Issued on Thursday, September 4, 2008 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 Wasl;ngton and the /City y of Federal Way. Owner or agent: 1�� -Lc Date: i } THIS CARD IS TO REMAIN ON -SITE r r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 104173 -00 -CO Owner: HELEN KUBIK Address: 1003 S 308TH ST 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. ❑ Fire/Draft Stops (4095) Approved By Date ❑ Insulation (4150) Approved to install wallboard By Date ❑ Final - Fire Department (4060) Approved By Date NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing &Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date ❑ Final - Building (4050) Approved By Date ❑ Framing (4120) Approved to insulate By Date ❑ Suspended Ceiling Grid (4265) Approved to drop tile By Date For inks ector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date ❑ Footings /Setback (4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By �, Date ❑ Re -steel (4215) ❑ Slab /Concrete Floor (4255) ❑ Underfloor Framing (4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date ❑ Fire/Draft Stops (4095) Approved By Date ❑ Insulation (4150) Approved to install wallboard By Date ❑ Final - Fire Department (4060) Approved By Date NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing &Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date ❑ Final - Building (4050) Approved By Date ❑ Framing (4120) Approved to insulate By Date ❑ Suspended Ceiling Grid (4265) Approved to drop tile By Date For inks ector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date `Federal Way CORRECTION NOTICE Building DWIsion 33325 Eighth Avenue South PO Box 9718 Federal Way, WA 98063 -9718 Phone 253- 835 -2607 Fax 253- 835 -2609 ADDRESS: I t20 3 '!S' , 3 06 J,:2 ?: PERMIT #: 8 - /,Q -5/l %3 ^ Oo IF YOU HAVE ANY QUESTIONS CALLI&e�,( ' 5 (253) 835 -2 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835 -3050 FOR RE- INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. C�.. S• 0B DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page _L_ of RECEiED • h My or 'A �f o Z� 4 Federal way s PERMIT COMMUMTY DEVELOPMENT SERVICES j� `n' ALNI 333258TMAVENUESOUIfi•G1�Q7J8 ®F FE� j',T` ATI ON FEDERAL WAY, WA 98 7 `� A 1 L 253 - 835 -2607• FAX 253 6 9 ivww.dtuo fkde,aiway.com _9- 1011-2-3 SF MFa)qE EL PL DE EN FP The following is required igformation - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPFRTY INFORMATION I SITE ADDRESS (� 0 3 _3 1 IF Cc1 C. w -w, i SUITE /UNff # ASSESSOR'S TAX /PARCEL # S 0 - _e_ —0- v -0— LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Loot 1) -rye paw f- kqg be9d de..Ipdu14 0 PROJECT INFORMATION C TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT NAME (Name of Business or Oluner Last c' lC C✓ Y - C) CI PEOPLE •• • PROPERTY OWNER CONTRACTOR PROJECT CONTACT LENDER NAME j PRIMARY PHONE MAILING ADDRESS /00 3 5 3 o ein 5 d 3- C1TY. STATE ZIP c�AeVCC, I E -MAIL ADDRESS IQ I u fotra nslts C011ZPANY NAME AP CANT NAME �. �c to APPLICANT NAME MAILING ADDRESS OFFICE PHONE L c,. v-► s rs (z.53) 6 MAILING ADDRESS ❑ Architect ❑ Tenant ❑ Agent $Other TY' C 42 j CELL PHONE too C' tvGl G ( ) - CITY OF FEDERAL W Y BUSIJESS LICENS NUMBER EXPI2ATION A FAX NUMBER acs z 13 0 o C) !3L 2 /3r oe (253)_ 93e-0i63 CONTRACTOR'S ISTRATION NUMB= E%PUZ^MON DATE E -MAIL ADDRESS U Vol *23F616 ` /0 COMPANY C4 Icc. AP CANT NAME �. �c to OFFICE PHONE (z s �) Ct - 3' MAILING ADDRESS CITY, STATE.� (p� CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent $Other TY' C 42 NAME PRIMARY PHONE E -MAIL ADDRESS 1 NAME per RCW 19.27.095. Lender information is required (f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, PHONE EXISTING USE PROPOSED USE c i - o Th —r EmSTING ASSESSED /APPRAISED VALUE $ IV A- VALUE OF PROPOSED WORK 1. F O (:I SPRIIHSLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER *LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 14 LAWUUVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) C'0 i.An 0 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES SECOND GAS LOG SETS REFRIG. SYSTEMS ZONING DESIGNATION THIRD CHANGE OF USE? o YES ADDITIONAL FLOORS (DESCRIBE) NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA/SU? DECK (❑ COVERED OR ❑ UNCOVERED ?) ❑ NO PLATTED LOT? o YES ❑ NO GARAGE ❑ CARPORT ❑ DEMO PERMIT REQUIRED? ❑ YES ❑ NO NUMBER OF FLOORS EA9ra16 PROPOl80 TOTAL TVrAL MMM AF TOTALA WOREDW TorALS "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fbdure to be installed or relocated as part of this project Do not include existing fu tur es to remain. Value of Mechanical Work (A COPY OF BID OR ES7VMA7E MIST BE INCLUDED WPIH APPU1CA770M AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (c.. a) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub /Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS LAVS (Bathroom Sinks) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS (Tolle) SINKS WASHING MACHINES SUMPS BUILDING SHELL ONLY? I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert{fg that to the best of my knowledge, the ir{formation submitted in support of this permit application is true and correct. I cert(Jy that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibiiitjfor compliance with local, state, orfederai laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including casts, expenses, and attorneys' fees incurred in the Investigation and defense of such cl aim), 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 f formation supplied to the city as a part of this application., �r l SIGNATURE: fR �'"'`- //"k DATE Property Owner and /or Authorized Agent FOR OFFICE USE ONL T ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? o YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA/SU? o YES ❑ NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 - January 1, 2008 Page 2 of 4 kV4andouts\Permit Application