16-102771Project Name: MARIPOSA APARTMENTS - UNITS 95 & 99
Project Address: 1722 S 281ST PL
Ouilding - Multi Family
Permit #: 16- 102771 -00 -MF
Inspection Request Line: (253) 835 -3050
Parcel Number: 332204 9039
Project Description: REP - Fire damage repair work to include demolition, insulation and drywall associated to
units 95, and 99. No Plumbing or Mechanical included.
Owne
ApRlicant
City of Federal Way
Lender
Community & Econ. Dev. Services
L
33325 8th Ave S
Law
Federal Way, WA 98003
9792 EDMONDS WAY SUITE 196
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MARIPOSA APARTMENTS - UNITS 95 & 99
Project Address: 1722 S 281ST PL
Ouilding - Multi Family
Permit #: 16- 102771 -00 -MF
Inspection Request Line: (253) 835 -3050
Parcel Number: 332204 9039
Project Description: REP - Fire damage repair work to include demolition, insulation and drywall associated to
units 95, and 99. No Plumbing or Mechanical included.
Owne
ApRlicant
Contractor
Lender
COMMUNITY HOUSING ASSISTA
DAHLSTROM BUILDERS LLC
DAHLSTROM BUILDERS LLC
OWNER IS LENDER
2812018TH AVE S
9792 EDMONDS WAY SUITE 196
DAHLSBL925K3 (5/23/18)
FEDERAL WAY WA
EDMONDS WA 98020
9792 EDMONDS WAY SUITE 196
Occupancy Load
98003 -3265
EDMONDS WA 98020
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
0
0
0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Deck .......................... 0
Mechanical to be Included? ....... .............................No
New / Additional Sq. Feet - Other ..........................0
Plumbing to be Included? .......... .............................No
New / Additional Sq. Feet - Total .......................... 0
New / Additional Sq. Feet - Basement ...................0
New / Additional Sq. Feet - Garage .......................0
Number of Stories ................... ..............................1
Permit for Building Shell Only? .............................No
Proposed Structure Valuation ...... ..........................40000
No Fixtures Associated With This Permit 4!
CONDITIONS:
Separate electrical permit required
PERMIT EXPIRES Sunday, December 4, 2016
Permit Issued on Tuesday, June 7, 2016
I hereby certify that the abovOt f rmation ' corre nd,,#6at the construction on the above described property and
the occupancy and the use will be in a r anc ,- rt�4es andregulations of the State of Washington
ral Way.
Owner or agent: Date: ,;�L
Ft %,,1C
cNiv iwF
Federal Way
PERMIT #:
• THIS CARD IS TO ON -SITE
Construction In ecti4 Record
INSPECTION REQ TS: (253) 835 -3050
16- 102771 -00 -MF Address: 1722 S 281ST PL
Project: FEDERAL WAY, WA 98003
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.
0
Initial Erosion Control (4365)
Footings/Setback ( 1
Foundation Wall (4115)
Slab /Concrete Floor (4255)
To be done prior to breaking ground
Approved to backfill
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By Date
0
Drainage/Downspout (4040)
Re -steel (4215)
0
Slab /Concrete Floor (4255)
Approved to backfill
By
Approved to place concrete or grout
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
0
Floor Sheathing (4105)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
0
Roof Sheathing (4220)
[3
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date L
By
Date
Insulation (4150)
Framing (4120)
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections most be signed -off and
Approved to insulate
Approved to install wall
M % $ (i 1 1
approved. IBC 1093.4
By
Date�,,�,
By
Date
Gypsum Wallboard Nailing (4130)
0
Suspended Ceiling Grid (4265)
Final - S K F & R (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By
. Date
By
Date
By
Date
0 Final Erosion Control (4375) 0 Final - Building (4050)
Approved Approved
By Date By f�,,�S Date 4 l q 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
'ek
r PERM IQftFPLI CATION
CITY OF
Federal Way JUN 07 2016
PERMIT NUMBER �j _
I() 'Z77 ' _ CITY OF F�E�DERA
-j — TAR49DL WAt -7/
l
SATE
SITE ADDRESS
M:2-, (�, �1 �
SUITE /UNIT N
�-
PROJEdf VALUATION
$ D doo,�
ZONING
ASSESSOR'S TAR C M
3 3 2 2 o y_ 0 3
TYPE OF PERMIT
0 PLUMBING ❑ MECHANICAL DEMOLITION ❑ ❑l FIRE PREVENTION
NAME OF PROJECT
�UJILLDING )ENGINEERING
j❑l
A C j'( v �—�y`"� �U v l/ M l 9
!
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAM11g
PRIMARY PHONE
PROPERTY OWNER
MAILING ADD S
E-MAIL
CITY
NAM
PHONE
CONTRACTOR
z
MAILIN D S — � � � ^�
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E -MAIL
CITY
STATE
Gv
ZIP
gD
FAX
WA 3T/,LTE CTO ' E
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SE
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FET $�i..WA1 BY$ Y�'7 N
NAMS`----
PRIMARY PHONES
APPLICANT
MAILIN (+ `^
f /7
E -MAIL
CITY
T ZIP/' �
[
FAX
PROJECT CONTACT
NAME ,,.��
PRILMARY PHONE
MAILING ADD
MAT /
(The individual to receive and
respond to all correspondence
(/
cTTY
STAT
ZI ,r �,
' /I /V� `� /j
FAX `
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense such claim), ich may be made by any person, including the undersigned, and filed against the city,
but only where such clai ses out oft r$Ifan the ty, including its officers and employees, upon the accuracy of the
information supplied to city as a part of is'appl on.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — February 22, 2016 Pagel of 2 k:\Handouts\Permit Application