16-103336City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: FOUNDATION HOUSE
Project Address: 32290 1ST AVE S
Ouilding - Multi Family
Permit #: 16- 103336 -00 -MF
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9039
Project Description: REP - Remove and replace 677 squares of field membrane and 253 squares of wall
membrane.
Mechancially install Carlisle 115 mil Fleeceback EPDM over existing roof. Adhere Carlisle
.060 mil'EPDM up parapet walls under existing coping cap. Remove siding form elevator
parapet walls and install new .060 mil EPDM.
Owner
A1212licant
Contracto
Lende !
BROOKDALE SENIOR LIVING
J R C INCORPORATED
J R C INCORPORATED
6737 W WASHINGTON ST SUITE 2.
2098 TOM AUSTIN HWY
JRCINI *860CC (2/3/18)
MILWAUKEE WI 53214
GREENBRIER TN 37073
2098 TOM AUSTIN HWY
Occupancy Load-
GREENBRIER TN 37073
Census Category: 555 - Non - structural roofing permits
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
Proposed Structure Valuation .......... ......................415545.14 New / Additional Sq. Feet - Total.......................... 0
No Fixtures Associated With This Permit 11
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, February 11, 2017
Permit Issued on Monday, August 15, 2016
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 deral Way.
Owner or agent: , Date:
cnnr eat .
Federal Way
PERMIT #:
• THIS CARD IS TO *MAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
16- 103336 -00 -MF
Address: 32290 1 STAVE S
Project: BROOKDALE SENIOR LIVING 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 togged on the back of this card.
To be done prior to breaking ground
By Date
❑ Drainage/Downspout (4040)
Approved to backfill
By Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
0 Roof Sheathing (4220)
Approved to install roofing
By vy�D Date 4%
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -i® and
Fire/Draft Stop inspections most be signed off and
approved IBC 1093.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
0 Final Erosion Control (4375)
Approved
By Date
Approved to place concrete
By Date
Re -steel (4215)
Approved to place concrete or grout
By Date
Floor Sheathing (4105)
Approved to install flooring
By Date
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Building (41-50 _
Approved
By ,Q Date 9
Foundation a (
Approved to place concrete
By Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
0 Shear Walls (4245)
Approved to install siding
By Date
Interim Erosion Control (4370)
Approved
By Date
0 Insulation (4150)
Approved to install wallboard
By Date
0 Final - S K &F R (4060)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
i
0
CITY Of
4%
PERMIT APPLICATION
Federal Way PERMIT CENTER + 33325 8"' Avenue South + Federal Way, WA 98003 -6325
253- 835 -2607 + FAX 253- 835 -2609 + permitc COm
PERMIT NUMBER 16o _ l 3MF TARGET DATE JUL 12 2016
— — —.
N nC rnr. - . _
SITE ADDRESS
• SUIT/UN���
32290 1st Avenue S., Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL M
$ 415,545.14
OP
7 _9 0 4 - q
TYPE OF PERMIT
lit BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I3rookdale Foundation House Reroof
PROJECT DESCRIPTION
Detailed description of work to
See attached scope of work.
be included on this permit only
NAME
PRIMARY PRONE
Brookdale Senior Living
PROPERTY OWNER
MAILING ADDRESS
s•MAIL
6737 West Washington Street, Suite 2300
ispaeth @brookdale.com
CITY
STATE
ZIP
Milwaukee
NAME
PHONE
JRC Incorporated
615 -851 -1725
MAndNG ADDRESS
2098 Tom Austin Hwy. 0 ;LX-y
EMAIL
gmaddox @jrcinco.com
CONTRACTOR
CITY
Greenbrier
STATE
TN
ZIP
37073
FAX
615- 851 -1371
WA STATE CONTRACTOR'S LICENSE /
EXPIRATION DATE
FEDERAL WAY Buenas LICENSE /
JRCINI *860CC
02/ 03 /2018
Currently applied for
NAME
PRIMARY PHONE
Greg Maddox
615 - 851 -1725
MAILING ADDRESS
2098 Tom Austin Hwy.
EMAIL
gmaddox @jrcinco.com
APPLICANT
CITY
STATE
ZIP
FAX
Greenbrier
TN
37073
15-851 -1371
NAME
PRINIARY PHONE
PROJECT CONTACT
Same as above - Greg Maddox
(The individual to receive and
MAILING ADDRESS
EMAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
n/a
❑ OWNER - FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I cert{ fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I eertt that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certjfy 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 4f Federal Way as to any claim {including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such ctain4 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 offleers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: DATE 07/05/16
PRINT NAME: Gregory S. Maddox
Bulletin #100 — January 29, 2016 Page I of 2 kAHandouts\Pelmit Application