12-103028tuilding - Multi Family
Permit #: 12- 103028 -00 -M F
Inspection Request Line: (253) 835 -3050
Project Name: LAKE FOREST CONDOMINIUMS - UNITS 14,15,16,19, 20, 22, 26, 31, 32
Project Address: 1003 S 308TH ST Parcel Number: 259590 0000
Project Description: REP - Removetreplace 32 square foot decks on units 14,15,16,19, 20, 22, 26, 31, 32 in
accordance with approved Basic Plan #11- 102962.
Owner
ARRIlIcant
City of Federal Way
Lender
Community & Econ. Dev. Services
DIEMER CONSTRUCTION
33325 8th Ave S
Federal Way, WA 98003
11232 249TH ST NE
Ph: (253) 835 -2607 Fax: (253) 835 - 2609
a
tuilding - Multi Family
Permit #: 12- 103028 -00 -M F
Inspection Request Line: (253) 835 -3050
Project Name: LAKE FOREST CONDOMINIUMS - UNITS 14,15,16,19, 20, 22, 26, 31, 32
Project Address: 1003 S 308TH ST Parcel Number: 259590 0000
Project Description: REP - Removetreplace 32 square foot decks on units 14,15,16,19, 20, 22, 26, 31, 32 in
accordance with approved Basic Plan #11- 102962.
Owner
ARRIlIcant
Contractor
Lender
HELEN KUBIK, TREASURER
DIEMER CONSTRUCTION
DIEMER CONSTRUCTION
FOREST LAKE HOME OWNERS
11232 249TH ST NE
DIEMEC *052K3 (12/21/13)
ASSOCIATION
ARLINGTON WA 98223
11232 249TH ST NE
Occupancy Load
1003 S 308TH ST UNIT 33
ARLINGTON WA 98223
FEDERAL WAY, WA 98003
0
1 0
0
Census Category: 434 - Residential altladd - no change in number of units
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft.
0
1 0
0
0
Additional Permit Information
Mechanical to be Included? ....... .............................No Number of Stories ................................................. 3
Permit for Building Shell Only? .............................No Plumbing to be Included? ......... .............................No
New / Additional Sq. Feet Total .......................... 0
CONDITIONS:
PERMIT EXPIRES Saturday, December 29, 2012
Permit Issued on Monday, July 2, 2012
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 ag Date: -7
FIROUZ qlell(z
CITY OF
Federal Way
PERMIT #:
12- 103028 -00 -MF
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1003 S 308TH ST
Project: HELEN KUBIK, TREASURER FEDERAL WAY, WA 98003 -4752
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.
El
SWM Precon Site Mtg (440)
Fire/Draft Sto
Initial Erosion Control (4365)
E]
Footings/ Setback (4110)
Approved to install roofing
Approved
Approved
To be done prior to breaking ground
Date
Approved to place concrete
By
Date
By
Date
By
Date
0
Foundation Wall (4115)
Fire/Draft Sto
0
Drainage/Downspout (4040)
Approved to install roofing
Re -steel (4215)
Approved
Approved to place concrete
Date
By
Approved to backfill
By
Date
Approved to place concrete or grout
By
Date
By
Date
By
Date
0
0
Insulation (4150)
Slab /Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to install wallboard
Approved to install mud & tape
Approved to sheath floor
Approved to drop tile
Approved to install flooring
By
Date
By
By
Date
By
4 Date � Z f
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Sto
0
Approved to install siding
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
0
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
0
Framing 4120
(ulate )
Approved
Electrical, Plumbing & Mechanical Rough -in and
Date
Approved togi
By
By
Date
FireMraft Stop inspections must be signed -off and
approved IBC 109.3.4
By,
Date
Insulation (4150)
[]Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
0
Final - Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By Date
By
�' Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY or '
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAN 253- 835 -2609
r�.v_.�u�, ri t yg, j�iirr�Jt;._nu. com
PERMIT
REC��C�ICATION
JUL 0 2 2012
r o "g
MF CO ME PL DE EN FP
SITE ADDRESS
CITY OF, FEDERAL WAY
SUITE /UNIT #
3
�� 5 W 6 99063
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
P7`( *6 C rn (/ t �` O" -)O
PROJECT DESCRIPTION
n �2 �� ``
Detailed description of work to
1ti 6 t
, U
be included on this permit only
PROPERTY OWNER
NAME
(��
PRIMARY PHONE
Zs-3 ^.-9 q & -
MAILING ADDRESS •�� 14
E-MAIL
_
NAME
PEI0 2-5 2 3 7— -30 t
MAILING ADDRESS
�2 3 Z 7HS J" v
E-MAIL
6,14 tout,-601'
CONTRACTOR
Cl/ r j ` {
STAT
,^
, V"
ZIP 9 � 3
%EXPIRATION
FAX
WA ST` ATE CONT CT�ORR,'S LICENSE #
1S 6-C W 7—
DATE
Fi
lZ% 2,
FEDERAL WAY BUSINESS LICENSE #
NAME `
l t!
L3 Z - 364 2
APPLICANT
MAILING ADDRESS
3!z ZL(c7 rH
E-MAIL
CI��T //Y��� ��
S`TApT(E�j
ZIP �Z
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
2 t%` G T (4 J 0 V
E -MAIL
respond to all correspondence
concerning this application)
cry Y
c,tti r
STATE
w�
ZIP
?I -Z
FAX
ALTERNATE CONTACT NAME:
LZCt0
PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER-FINANCED
Required value of $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.
" "" ",\ DATE z
SIGNATURE:
PRINT NAME:
Bulletin #100- January 1, 2011 Page I of 3 k:\Handouts\Permit Application
0 •
VALUE OF MECHAMCAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Conan 6.1)
BOILERS
FURNACES HOT WATER TAN Icss)
COMPRESSORS
GAS LOG SETS REFRIGERATION SY T
DUCTING
GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do It include existing fixtures to remain.
BATHTUBS for Tub /shower combo)
LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREA ERS
DRINKING FOUNTAINS
SINKS (Kitchen /utmty) WATER HEAT RS (Electric)
HOSE BIBBS
SUMPS WASHING ACHINES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE flu Square Feet) EXISTIN IRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION
FIRST • ' (or Mobile Home)
'
,
v
' •
PROPOSED I TOTAL
��M
• CD•:••u
FOR OFFICE USE
AREA DES RIPTION I Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Tape I Stories
AREA DESCRIPTION Area Occupancy Groupls) Construction � ri Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application