16-102852Gilding - Multi EamMy
City of Federal Way
Community ermit #:16- 102852 -00 -M F
nity & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p
Project Name: FOUNDATION HOUSE
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: REP - Unit 332, replace (2) layers of drywall on a listed assembly. Unit 303, replace existing
R25 insulation with R30 insulation and replace (2) layers of drywall on a listed assembly.
Owner
SENIOR LIVING BROOKDALE
AUQlicant
ANTHONY TURRENTIN$
Contractor
INTERSTATE RESTORATION WA
Lender
6737 W WASH ST SUITE 2300
INTERSTATE RESTORATION WA
LLC
MILWAUKEE WI
LLC
INTERRW905BH (1/12/18)
53214
22342 68TH AVE S
3401 QUORUM DR SUITE 300
Occupancy Load-
KENT WA 98032
FORT WORTH TX 76137
Census Category: 437 - Commercial alt / add / conversion
Includes.
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor Areas . ft.
0
0
1 0
1 0
Additional Permit Information
Mechanical to be Included? ....... .............................No
Permit for Building Shell Only ? ............................No
Proposed Structure Valuation ..... ...........................2600
Number of Stories ................... ..............................3
Plumbing to be Included? ......... .............................No
No Fixtures Associated With This Permit It
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Wednesday, December 7, 2016
Permit Issued on Friday, June 10, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupaQqLand the use will be in accordance wS the law ,rules and regulations of the State of Washington
ty I Way.
Owner or
f 1%hC' 1t
Date: C l01 491
May
PERMIT #:
Project:
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
16- 102852 -00-MF
SENIOR LIVING BROOKDALE
Address: 32290 1ST AVE S
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.
Initial Erosion Control (4
Drainage/Downspout (4040)
Footings/Setback
[:]
Foundation a 4
To be done prior to breaking ground
Approved to place concrete
By
Approved to place concrete
By Date
By
Date
By
Date
0
Drainage/Downspout (4040)
[:]
Re -steel (4215)
Slab/Concrete Floor (4255)
By
Approved to backfill
By
Approved to place concrete or grout
By
Approved to place concrete
By
Date
By
Date
By
Date
0
Underfloor Framing (4285)
0
Floor Sheathing (4105)
Shear Walls (4245)
By
Approved to sheath floor
By
Approved to install flooring
By
Approved to install siding
By
Date
By
Date
By
Date
0
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection, Framing (4120) Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and Approved to insulate Approved to install wallboard
FireNnit Stop inspections oust be signed -off and
approved. IBC 1093.4 By Date B Date
0 Gypsum Wallboard Nailing (4130)
Approved to install mud & tape ??
By ,A-.1 Date % h f. I,/.
0 Final Erosion Control (4375)
Approved
By J% Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Building (4050)
Approved
By 4(,j Date 41 1 c,
0 Final - S K F& R (4060)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40k
CITY OF
Federal Way
PERMIT NUMBER 1 W
WICEIVED
PERMIT4kPPLICATION
T6
CITY OF FEDERAL NAY
l 0 ACV 5,z
TARGET DATE I0
SITE ADDRESS
SUITE /UNIT N
3a
03 Z-
PROJECT VALUATION
$
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ASSESSOR'S TAY /PARO- ri, Y
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TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT���
,' V
PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
NAME l
PRIMARY PHONE
PROPERTY OWNER
MJjjL1NG ADDRESS c
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STATE
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NAME or��ol'L
PHONE
MAILING ADDRESS /' 6 [
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E -MAIL
CONTRACTOR
CITY �
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FAX
WA STATE CONTRACTOR'S LICENSE k
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 6
NAME
,%L11,P-4
PRIMARY PHONE
iV6 1/1- 7S
MAILING ADDRESS
6116, 0 /4
O �!ZIP
E-MAIL
APPLICANT
CITY STAT
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FAX
PROJECT CONTACT
NAM ,/ -
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PRIMARY PHONE
��" 3/3'7J0
MAILING ADD S
3ya
E -MAIL
(The individual to receive and
respond to all correspondence
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STATE
ZIP� Q
O
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5, 000 or more
(RCW 19.27095)
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.
1 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 ma be made b rson, including the undersigned, and filed against the city,
but only where such claim arises out the reli oft inclu ng its officers and employees, upon the accuracy of the
information supplied to the city 1 n.
SIGNAT DATE
PRINT NAME,
Bulletin #100 — February 22, 2016 Page I of 2 k:\Handouts\Permit Application