04-100219City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
of 0
Building - Multi Family Permit #: 04 - 100219 - 00 - MF
Project Name: THE COVE APARTMENTS
Project Address: 33131 1ST AVE S Bldg22
Project Description: Repair - Roof replacement like for like
Inspection request line: 253.835.3050
Parcel Number:
Owner
Applicant
Contractor
Lender
PROMETHEUS MGT GROUP
INTERSTATE ROOFING INC
INTERSTATE ROOFING INC
NONE
PROMETHEUS MGT GROUP
15065 SW 74TH AVE
INTERRIO77KK 10/18/05
12011 NE 1ST ST SUITE 207
PORTLAND OR 97224
15065 SW 74TH AVE
Occupancy Load:.
BELLEVUE WA 98005
\
PORTLAND OR 97224
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
Construction Type:
Occupancy Load:.
Floor Area (Sq. Ft,):
Census Category .....,.. ..................................... 434 - Residential alt/add - no, Mechanical ........................ ................. No
Plumbing..... .... ................ ........... No
PERMIT EXPIRES July 20, 2004.
Permit issued on January 22, 2004
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: Date:
'ltzl°� r-t-f -Gil /ul��iil� o/c
RECEIVED BY
0VMUNI7Y DFVFL0PNAFNT DFP A�� CITY OF V Federal way IAN 2 2 RECI; IT APPLICATIONG
For Office Use Only:
The followinq is
SITE ADDRESS:
FW File Number:
TD:
- an incomplete application will not be accepted. Please
ASSESSOR'S TAX /PARCEL #: _ _ _ _ _ _ - _ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1)
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOA 9718
FEDERAL WAY, WA 98063 -9718
253- 6614115• FAX: 253- 661 -0129
tUW iU. Cl[ 4�tt('(IP /(1I1u(14. Mm
SUITE /APT #�'
(Attach separate page for lengthy legal description)
PROJECT MFORMATION
TYPE OF PERMIT (This application): XBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhit
kef CAe 41— 42
PROJECT NAME (Name Of Business /Owner Last
PROPERTY
OWNER
CONTRACTOR
LENDER
(If Proposed Vslae> $5,000(
APPLICANT:
NAME: PRIMARY PHONE:
(� )y 6 -
MAILING ADDRESS STREET ADDRESS;(: CITY, STATE, ZIP
or
NAME
s. C
COMPANY
OFFICE PHONE:
(5t,-?) -
MAILING ADDRESS (STREET ADDRESS;(:
v
CITY, STATE, ZIP
9X ?2q
CELL PHONE:
(5'd )!1 - s"
CITY"OF FEDERAL WAY BUSINESS LICENSE NUMBER:
fEXPIRATION DATE:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
(copy of card required with each application) —7 X
�Hy V L
e �; Q L 4 L�
EXPIRATION DATE: ✓
/0 / /!/ / 6. 5
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;(: CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
/EVENING PHONE:
l )
RELATIONSHIP TO PROJECT:
❑ Architect []Tenant ❑ Other (Describe]
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor ❑ Applicant E -MAIL ADDRESS:
DETAILED BUILDING ENFORMATION
EXISTING USE: PROPOSED USE:
0
EXISTING ASSESSED /APPRAISED VALUE $ �l,>!'% VALUE OF PROPOSED WORK: $�_
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
- --
EXISTING S�. FT.
— --
PROPOSED S�. FT.
- -
— TOTAL
BASEMENT -
❑ NEW ❑ ADDITION
n ALTERATION
- --
FIRST
BUILDING SHELL ONLY? ❑ YES L] NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION:
THIRD
CHANGE OF USE?
n YES
❑ NO
FOURTH
YES n NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? �
YES n NO
DECK (COVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY "` NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tul,/Sh.w C.mlw)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (RaLh—m Sim:
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS Lcoma e«ta L W OODSTOV ES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (T,00) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
')TSCT.ATMFR /SIGNATURE BLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit
application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and er9plqyaqs, uporyrthofigcuracy of the information supplied to the city as apart of this application.
NAME /TITLE:
RELATIONSHIP TO PROJECT:
DATE:
(TIUe(
❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
n ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES L] NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION:
CHANGE OF USE?
n YES
❑ NO
NEW ADDRESS REQUIRED? n
YES n NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? �
YES n NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO