07-102052.., . ..
Comm;~t~~~e~8leivices Build1._ .'g -Multi Family Permit ,,•: 07-'102052-EJO~MF
P.O. Box9718
Federal Way, WA 98063-9718
Ph: (2 53) a3S-2607 Fax: (253> 83S-2609 Inspection Request Line: (253) 835-3050
Proj e ct Name: BARKLEY RIDGE APARTMENTS BUILDING C (PROJECT "A")
Project Address : 27830 PACIFIC HWY S BLDG C Parce l N umber: 720480 0200
Proj ect Descriptio n : NEW -Construction of a new 3-story, 18-unit, wood-frame apartment building, with
attached 1,218 sqft covered decks, includes plumbing & mechanical. Engineering review
for entire project included w/this permit.
Owner Applicant Contractor Lender
BA RKLEY RIDGE PARTNERS LP SALONE HABIBUDDIN FARREL L-MCKENNA CONST LLC BANK OF AMERICA
17786 DES MO INES MEMORIAL DF FARRELL-MCKENNA CONS T LLC FARREC*005L6 (6/20/08) 800 5TH A VE FLOOR 37
BURTEN WA 98148 177 86 DES MOTNF.S MEMORIAL DP !7786 DES MOINES MEMORIAL DF SEAITLE WA 98104
BURIEN WA 98148 BURIEN WA 98148
Cens us Category: 105 -New 5-or More Family Building
Includes : #l #2 #3 #4
R-2
Type V -B
18,439 0 0 0
Additional Pennit Information
New / Additional Sq. Feet -I st Floor .................... 5972 New / Additional Sq. Feet -2nd Floor ................... 5708
New/ Additional Sq . Feet-3rd Floor ................... 5536 Building Pre-con. Meeting Required? ................... Yes
New/ Additional Sq. Feet-Deck. ......................... 1218 Mechanical to be Included? ................................... Yes
Nwnber ofStories .................................................. 3 Pennit for Building Shell OnJy? ............................ No
Plumbing to be Included? ...................................... Yes Special Inspection(s) Required? ............................ Yes
New I Additional Sq. Feet -Total.......................... 18434 Occupancy# I -Use .............................................. Apartment House
Sensitive Areas? (Wetlands/Slopes, etc) ................ Yes Zoning Designation ............................................... RM 2400
Mechanical Fixtures
Ducts.............................................. 78 Fans................................................ 78
Bathtubs......................................... 24
Lavatories...................................... 24
Water Heaters................................ 18
Plumbing Fixtures
Dishwashers ................................... 18
S inks.............................................. 18
2
CONDITIONS :
Laundry Washer Outlets................ 18
Water Closets................................. 24
1. As r equired by the Public Works Director, in orde r to mitigate potential adverse trans portation imp a cts to
the surrounding road ne twork, the applicant must construct the identified TIP improve m e nts lis ted below
PRIOR TO ISSUANCE OF A BUILDING P E RMIT. In lieu of constructing these TIP proje cts a nd PRIOR
TO ISSUANCE OF A BUILDING PERMIT, the applicant may voluntarily pay a pro-rata share contribution
of $104,512 towards impacted TIP projects based on calculations in the MDNS.
2. Prior to iss uance of ce rtificate of occupancy for the iu-st unit, the applicant shall record a covenant against
:he property that rese rves the minimum affordable units r e quired under FWCC for the life for the property.
I . Prior to Issua nc e of certificate of occupa ncy for the first unit, all r e creation equipment for play areas must
•e installed, ins p ected b y appropriate s taff including planning staff and a pproved .
. Prior to Issua nc e of certificate of occupancy for the first unit, a landscape in s pection r e quired to be
'>nducted . Contact Deb Barker at 253-835-2642 to schedule the inspection.
Prior to I ssuance of certificate of occupancy for the firs t unit, all work a ssociated with the wetland and
~,-...,, ,, ...-i -.'
st~e!'!.m LJffe r mitigation plan s h a ll be complet ed and in sp e cted for the C ity by ESA Ad olfs on as part ot Ult!
monitoring commence m ent.
6. Prior to lssua9ce of cer tificate of \. .u pancy fo r the fi r s t unit, wetland a n d s .. am buffer assignment of:
f u nds s ha ll be in place, a d min istrative fees shall b e p aid in fu ll, and City access rights r ecorded a t King
Cou nty at t he expence of the applican t .
PERMIT EXPIRES Friday, November 27, 2009
P ermit lssu ed on Tuesday, No v e mbe r 2 7, 2007
I hereby certify that the above information is com:ict and that th e constructio n on the above descri b ed prop erty a nd
the occupancy and the use will be i n accord a nce with the laws, rules a nd regulations of the State of Wash ington
a nd th e City of Federa l Way.
Date: 7-Lti -og
City of Federal Way
Certificate of Occupancy
T his Certificate issued pursuant to the requirements of Section 110.2 of the Inte rn ational Building Code certifying that
at the time of issuance , this stru ctu re was in compliance with the various ordinances of the City regulating building
construction or use. T his certificat e is valid O NLY w h e n e ndorsed by City staff.
Tenant Name: BARKLEY RIDGE APA RTMENTS BUILDING C
Address: 2783 0 PACIFIC HWY S BLDGC
Includes: #1 #2 #3
Occupancy Class: R-2
Construction Tvoe: TypeV-8
Occupancy L oad:
Floor Area (sq. ft .) 18 ,439 0
O wner Name: BARKLEY RIDGE PARTNERS LP
Ow ner Address : 17786 DES MOINES MEMORIAL DR
BURIEN WA 98148
0
Perm it#: 07-102052-00-MF
#4
0
D ate
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner I occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and I or occupant of the premises.
It
II
11
-
-·~
CITY OF .,,,,.._?
Federal Way
THIS CARD IS TO RF\MAIN ON-SITE
~ommunity Developmtt1t Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERl\UT #: 07-102052-00-MF
Owner:
Address:
BARKLEY RIDGE PARTNERS LP
27830 PACIFIC HWY S BLDG C
FEDERAL WAY, WA 98003
This card is part of your required inspection docume n ts. Sc h e du le d inspections may be failed if this card is not on-site. DO NOT LO SE THI S CARD.
Inspection s are l isted as close to sequential o rder as possible (r ead left to right, top t o bo ttom). Please sch ed u le inspe ctions as appropriate. Work must not
be cov ered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going in spections
are lo gged on the back of this card.
D Footings /Setba ck (4110)
Approved to place concrete
By Date
D Re-steel (4215)
Approved to place concrete or grout
By Date
D Underfloor Framing (4285)
Approved to sheath noor
By Date
0 Roof Sheathing ( 4220)
Approved to install roofing
By ,., ,_, .~ Date '5 -<1-·~'¥
D G as Piping (4125)
Approved to release test
B)• ~
D Framing (4120)
Approved to insul ate
B y~
0 Suspe nded Ceiling Grid (4265)
Appro ved to drop tile
By Date
D Final -Public Works (4080)
Approved
By Date
By
D Foundation Wall (4115)
Approved to pl ace co ncre te
By Date
D Plumbing Groundwork (4190)
Approved 10 cover
By Date
D Floor Sheathing (4105)
Approved to ins tall flooring
By ~p !C Date '1 ~ ' ~
D Rough Plumbing (4230)
Approved
By Date <.&-_
D Fire/Draft Stops (4095)
Approved
By Date -~ <;V
D Insulation (4150)
Approved to insta ll wallboard
By Date
0 Fin al -Fire Department ( 4060)
Appro ved
By Date
D Final -Mechanical ( 4065)
App roved
D Drainage/Downs pout (4040)
Approved to backfi ll
B y Date
D Slab/Concret e Floor (4255)
Approved to place concrete
By Date
D Shear Walls (4245)
Approved to install sid ing
By Date ..
D Mechanical Rough-in (4165)
Approved
Date
NOTE: Prior to scheduling a Framing (4 120)
inspection; Electrical. Plumbing & Mechanica l
Rough-in and Fire/Draft Stop inspections must be
signed-off and appr oved. lBC I 09.3.4/UBC 1085.4
~ ~
D Gypsum Wallboard Nailing (4130)
Approved to install mu d & tape
By
D
By
D
\ • Date '1-:l. ~ '(
Final -Planning (4070)
Approved
Da te !D/~/otf
Final -Plumbing ( 4075)
Approved
By Date 9. · -o:S By C-c-..J Da t
0
By
FINAL ~ Electrical
Approved
Date
. .
t;1 AI.WIDA 4.4. 21.70~0711 • User Grace Skidmore Signed on lo Arna11da []@](8]
Re Dab Smh Bl Atlms Reports Y.lrdow ~
f I g @ D X T ~ ~ ~ ~ • e I ~ ~ ~
l,9011 T,-0.... ~ ,_ ....... o.i.,. M ...... R!lnm D<td 111,uy ml P.op• "'-" ,.._ AdM<Qy Pn,t
Us.ige (1) I .Allachment I
folder I Proparty (1) I People~ ! 1nfo@4) I Fixture (31) j Fee/Charge (22) Procm \00) j Documelll (1 9) j File (1) j ~ci~n ~ (.!]) I Comment~ I
(
__ Fokl_e_rl ___ Re!_ DmiMge/Oownspout
12007102052 000 00 MF Foond&lOII Wall
Undeiioor F111mng
Slab/Concrete Floor
Roof Sheafliing
ShewWBlls
Fire/Omit Slops
Framing
Fbo1She8lhing
lnscldloo
Folder. 07 102052 000 00 MF
Process
In spections
nna! · Public Works
1 (
Comments Sla!Us To Sloll To Efld S,ened Ended iD I -----------
,au a a
Sta~Tod~ j EndooS141 j Rei:eat l ~~ I ~ j ~ I
Endlo~ j EndonOtle j ~ j S"!1l0lf j j · I
r. ust\liew r Related View
P Show no . of rows on tebs 74 RO'fll, Returned
~Al.\ANDA 4.4 .21.7090111 -U.er Grace Skidmore Signed on to Am~nda ~@~
f ~ g ~ I X T ~ ~ i ~ ~ 3 I I ~ ~
L.901/ T,-O,U.. ~ r.i.. -"11 Odtt, Na >,,"" -0.., ~.. III ,.,,,. """" "'-....... ""
Folde r#
12007 1020S2 000 DO MF
r. lJstView r RelaJed View
w Show no of rows on tabs
Comments
...
~i---r-r-r-tvRuser ---~r-r-r-r-~user
Fire Dept Inspections
FlllaJ·FireDeparonent ......----~r-r-r--r-1\IRUser
Mech11nical lnspeciions
MechanicoJ Rough-in ,-----~17111/2008 0 P/11/2008 0 P/HJ{l008 0 r-~JChael lee
GasPtping ~r-r-r-r-J"vRuser -
final·Med!Wlicel ~r-1 I r-fv'R user
Plumbing Inspections
Plumbing Groummo,k ~~=]f---i---r-r--J"vRuse r
Rough Plumbing ~~~6/2008 Ofi/2<V2008 I 16/26J2008 0 P'ICbael Lee
Fimll-F1umbing iiii_en JI r-r-r-~ v
SWI Tod;,J, I ED.ic,,Sl.lit I ~ I Fie~ I ~ I Re-Oe!d I
foll odaoJ I fol c,, Due ! Ai>-,. S,-,. Oll I · I
J
H Rows Returned
.-,:,,'"'• .... ,
Cit;' of Fede rat Way
' Co mmunity Development ServiceS
P .O. Box 971 8
Buhuing -Multi Family Permic #: 07-102052-00-MF
Federa l Way, WA 98063-9718
Ph: (253) 835·2607 Fax: (253) 835·2609 ·~ Ol---·
1 Inspection Request Line: (253) 835-3050
.........,
Project Name: BARKLEY RIDGE APARTMENTS BUILDING C (PROJECT "A")
Project Address: 27830 PACIFIC HWY S BLDG C Parcel Number: 720480 0200
Project Description: NEW -Construction of a new 3-story, 18-unit, wood-frame apartment building, with
attached 1,218 sqft covered decks, includes plumbing & mechanical. Engineering review
for entire project incJuded w/this permit.
Owner Applicant Contractor Lender
BARK.LEY RlOOE PARTNERS LP FARRE LL-MCKENNA CONST LLC FARRELL-MCKENNA CONST LLC BANK OF AMERlCA
1778 6 DES MOINES MEMORJAL DF 177 86 DES MOINES MEMORIAL DR F ARREC*005L6 (6/20/08) 80 0 5TH AVE
BURIEN WA 98148 BURIEN WA 98148 .77 86 DES MOINES MEMORIAL OF SEATTLE WA
BURIEN WA 98148
Census Category: 105 -New 5-or More Family Building
Includes: #1 #2 #3 #4
Occupancy Class: R-2
Construction Type: TypeV-B
Occupancy Load:
Floor A rea (sQ. ft.) 18,439 l 0 0 0 ,.
Additional Permit Information
New/ Additional Sq. Feet -1s t Floor .................... 5972 New/ Additional Sq. Feet -2nd Floor ................... 5708
New/ Additional Sq. Feet-3rd F loor ................... 5536 Building Pre-con. Meeti ng Required? ................... Yes
New / A d ditional Sq. F eet . Oeck. ......................... 1218 Mechanical to be lncluded? ................................... Yes
N umber of Stories .................................................. 3 Permit for Building Shell Only? ............................ No
Plumb ing to be lncluded ? ...................................... Yes Special lnspcction(s) Required? ............................ Yes
New / Additional Sq. Peet -T otal.......................... 18434 Occupancy# I -Use .............................................. .Apartment House
Sensitive Areas? (Wetlands/Slopes, etc) ................ Yes Zoning Designation ............................................... RM 2400
Mechanical Fixtures
Ducts.............................................. 78 Fans................................................ 78
B athtu bs ......................................... 24
Lavatories....................................... 24
Water Heaters ................................ 18
Plumbing Fixtures
Dishwashers................................... 18
Sinks.............................................. 18
Hose B ibbs..................................... 2
CONDITIONS:
Laundry Washer Outlets................ 18
Water Closets................................. 24
1. As required by the Public Works Director, in order to mitigate potential adver se transportation impacts to
the surrounding road nehvork, the applicant must construct the identified TIP improvements listed below
PRIOR TO ISSUANCE OF A BUILDING PERMIT. In li eu of constructing these TIP projects and PRIOR
TO ISSUANCE OF A BUILDING PERMIT, the applicant may voluntarily pay a pro-rata share contribution
of $104,512 towards impacted TIP projects based on calculations in the .MDNS.
2. Prior to iss uance of certificate of occupancy for the first unit, the applicant shall record a covenant against
the property that reserves the minimum afford a ble units required und er FWCC for the life for the property.
3. Prior to Issuance of certificate of occu p ancy for the first unit, a ll recreation eq uipme nt for pl ay a r eas must
be installed, in s pected by appropriate staff including planning staff and approved.
4. Prior t o Issuance of certificate of occupancy for the first unit, a landscape in s pection required to be
cond ucted . Co ntact Deb Barker at 253-835-2642 to schedule the inspection.
. $. J>rior ~Q Issuance of certificate of occupancy for the first unit, all work associated with the wetland 2 'ld
stream b:uffer mitigatio!) plan .shr ·~e completed and inspected for the Ci~ ESA Adolfson as part of th~
• • . .., .. ~ ,e,
rgomtonng commencement. 6: Prior to Issuance of certificate of occupancy for the .first unit, wetland and st1·eam buffer assignment of
funds shall be in place, adminis trative fees shall be paid in full, and City access rights reco1·ded at King
County at the expence of the applicant.
PERi'viii EXPIRES Friday, November.: 27, 2 0 09
Permit Issued on Tuesday, November 27, 2007
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 regu lations of the State of Washingto n
· ;,,. ; and the City of Federal Way.
Owner or agent ~<.{,~ t~6ci ~o!tJtv:;... Date: r 1 /f ,1 lo ~
I
City of Federal Way
Certificate of .Occupancy
This C e rtificate issued pursuant to the requirements of S ection 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction o r use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: BARKLEY RIDGE APARTMENTS BUILDING C
Addres s : 27830 PACIFIC HWY S BLDGC
Includes: #1 #2 #3
Occupancy Class: R-2
Construction Type: TypeV-B
Occupancy Load:
Floor Area (sq. ft.) 18,439 0
Owner Name: BARKLEY RIDGE PARTNERS LP
Owner Address: 17786 DES MOINES MEMORIAL DR
BURIEN WA 98148
Building Official
0
Permit #: 07-102052-00-MF
#4
0
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner I occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and I or occupant of the premises.
-
~ITV OF
~
Federal Way
THIS CARD IS TO P...,1\1.AIN ON-SIT!!~
Community Development Inspection 'Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#:
Owner:
Address:
07 -102052-00-MF
BARKLEY RIDGE PARTNERS LP
27830 PACIFIC HWY S BLDG C
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections arc 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.
D Footings/Setback (4110) D
Approved to place concrete
By Date By
D Re-steel (4215) D
Approved to place concrete or grout
By Date By
D Underfloor Framing (4285) D
Approved to sheath floor
By Date By
D Roof Sheathing (4220) D
Approved to install roofing
By~~ Date By
D ' Gas Piping (4125) D
Approved to release test
By Date By
D Framing (4120) D
Approved to insulate
By Date By
D Suspended Ceiling Grid ( 4265) D
Approved to drop tile
By Date By
D Final -Public Works (4080) D
Approved
Foundation Wall (4115)
Approved to place concrete
Date
Plumbing Groundwork (4190)
Approved to cover
Date
Floor Sheathing (4105)
Approved to install nooring
Date
Rough Plumbing (4230)
Fire/Draft Stops ( 4095)
Approved
Date
Insulation (4150)
Approved to install wallboard
Date
Final -Fire Department (4060)
Approved
Date
Final -Mechanical ( 4065)
Approved
10 Drainage/Downspout (4040)
Approved to backfill
By Date
D Slab/Cor.c:-ete F!oor ( 4255)
Approved to place concrete
By Date
D Shear Walls (4245)
~ Approved to insta.11 siding--~
qC$ ~~-D<2>
By Date
0 Mechanical Rough-in (4165)
Approved
By Date
.. NOTE: Prior to scheduling a Fr~ming (4120) "I'
inspection; Electrical, Plumbing & Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
~ ~
D Gypsum Wallboard Nailing (4130)
Approved to iostall mud & tape
By Date
D Final -Pl_anning ( 4070)
Approved
By Date
D Final -Plumbing (4075)
Approved
'==B=y======D=a=t=e=====~.....:::B:::y:::::::::::::::::::::::::=:=D=a=t=e =======~~==:::;::===::::::::::::::::::::-=---~j
CJ ;:;;===F==i~o~a~I ;;::.,, ~~~~·~4~0=50~1)1=-=-=-=-=t=F=o=r=i=n=s~ect or ~ferencer-o_n_l_l'_. _______ ~-______ -.:.-.:.-.:.===-·-....::-___ ----__,· ___ _
By Date
D
By
y
A!ff{fil'~ Electrical
Approved
Date
ae
D
By
FINAL " Electrical
Approved
Date
'
l
I
u �� e 0 5- hod. 5 33
cmae .o — 0 5
0.) _ _
4Federal Way PERMIT a — —
COMMUM7YDEVELOPMENTSERVICES SF ® O QE 'O B E EN FP
33325 8"AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609 APPLICATION R �p �/�
www.cittloffederalwau.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
'�Q 2 pn .! /� ■ ��PROPERTY INFORMATION
Q
SITE ADDRESS 2 /8 3 0 P c 1 t" C a rl/wt x'1 iv { , +{Ay' wk /I 9 SUITE/UNIT# B l c /1
ASSESSOR'S TAX/PARCEL# 7 2- o `( g 0 - 0 2- 9 0 LOT SIZE(sf) .6O�I v9 0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) G A e(Hvi I
(Attach separate page)lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT U LDING ,LUMBING /MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wok included on this permit onitj
i - -o Hft kPARTr9Off C01411,6?‹ (2- f S 6 Y e iP ) KEG • , Pant-,
To'I-(.old,otike.krbe f CAA ex-r63 Loaf tv-r p5 oN t •
,Gt is = 6 - oitY t49 47 04-S qf-1. 7r,?dt (off i g 01-0{6
PROJECT NAME(Name of Business or Owner Last Name) 130.1(1/6"..r P126.6 6.V NrAi 1 it '{F 6 - l_
II PEOPLE INFORMATION
PROPERTY NAME 6/�KKt y, r.WC dA/J tier le r PRIMARY PHONE
OWNER /�It lav ,y r/11t I'fj1�(J (P6 )241 -2600
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
R-7-86 POb t4olrr66 r11r'1ogifg-R . a2► 1 r-1 k`/Pk 'Vitt8
CONTRACTOR COMPANY NAME APPLICANT NAME 0,FFIC PHONE
'AWw-MC'KKNNPC CON014)0(104 A�e-7 oUNIb ( e l 2Zo41 6101 0E
MAILI?tj��RESS0' 1OI I� / CITY,STATE ZIP CELLP ONE
{{II 7722 ��// ,,I^J ,v-�/Wt� �(Cf�iP2 vl ..1 �1�(�N IA,
log
c 2��� q 6 -���v'S
�� p - - _ -- l- EXPIRA ON D TE FAX NUMBER
►Z r4lk r rAgR,ec, Go51�6 D6�Zo/MB ( 2o6 )24 b - o65cr
-- - - - ---- - - - - EXPIRATION DATE E-MAIL ADDRESS
COPY of card required
with each application ,;�;
APPLICANT E tgCK NINKC�,Nv-r. iktoN APPLICANTNAME IdAAeteoPPIN (1496)OFFICEDgtrI -�loi g
MAIL .IDRE sol, 4'V W1�-N 6, CITY,STATE,ZIP CONE
RELATIONSHIP TO PROJECT p�,, FAX NUMBER Q
❑Architect 0 Tenant 0 Agent r C (1 kofo& (a )Z4 J -06*gf
PROJECT NAME t tc r J® PRIMARY PHONE ��L E`-MMPI S$ ..
CONTACT C Y!/ t f�56 J -t I 60.1 k e9-4 / 4911,7
LENDER NAME p��,�fj g - Per RCW 19.27.095: (moi
�N K IV (l/I"4�/�` Lender information is required if project value exceeds$5,000
MAILING DRESSCITY,STATE,ZIP PHONE
1 Soo 51"k1/6) i) CL.. 11/1c (A9K 9$to(f (2o6 ) 38 -?6l7-
/'/� p�( ' n U DETAILED BUILDING INFORMATION /� p ,/ ,�.
EXISTING USE V 4' OAt l 1/"A '1-(2)
y��i�� PROPOSED USE Ar i tiKtif W tt-6)((
.60
EXISTING ASSESSED/APPRAISED VALUE $ rl `22C/�o VALUE OF PROPOSED WORK $ ¢/ ''O ,F.0 1/
SPRINKLERED BUILDING? PES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?fr "ES ❑ NO
WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER k.VCAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
PPlik
ti
r
MI PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT 22 /
FIRST 67 b7 g F7) i 01(06
SECOND fG,/I i 61 ii (c Q G
THIRD
---
/9 143-
y/ 94 ql`c-(042)
ADDITIONAL FLOORS(DESCRIBE)
DECK((ZVERED OR ❑UNCOVERED?) [N{,rj/(J pK p
GARAGE ❑ CARPORT 0
1 2( � I 2t Q
EXISTING � TOTAL EXISTING SF G,)4tIS,
TOTAL 3
NUMBER OF FLOORS f ?O �.
J �
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICALI '
Value of Mechanical Work $ All 1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS •-. "'.E COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS fir 4, S GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSE' HO S(Con merctap
COMPRESSO q FURNACES lit..
jiffir.DUCTS 2'9J7(/C)(W ria GAS LOG SETS FRIG.SYSTEMS
PLUMBING vvv �f(�
z4BATHTUBS(or Tub/Shower Combo) v-` LAVS Bathroom sinks) URINALS MISC(Describe)
18 DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS —78---
�— SHOWERS WATER CLOSETS tronec)
9' ELECTRIC WATER HEATERS t p SINKS 'cif I WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 employees,upon the accuracy of the information supplied to the city as a part of
this application. 'I�, Qet9df /1 � 1N � 1j
/a�0�NAME/TITLEC6'4 DATE
(Signature) (lltle)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent Contractor ❑ Architect ❑ Other
FGIR.OFFICi iISE OI
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 1,2007 Page 2 of 4 k\Handouts\Permit Application