09-103531 Building - M llti� Fa> iily
City of Federal Way 1
Community DO.evelopmBox9718ent Services Permit #: 09-103531 -00-MF
P. °
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SILVER SHADOW APARTMENTS UNIT J302
Project Address:. 27606 PACIFIC HWY S Apt J302 Parcel Number: 720480 0186
Project Description: REP- Repair fire damaged apartment which includes,drywall, roofing, repair of siding,(2)
windows and a slider door.
Owner Applicant Contractor Lender
SILVER SHADOW APARTMENTS GONZALEZ CONSTRUCTION GONZALEZ CONSTRUCTION
27606 PACIFIC HWY S 12709 120TH AVE CT E GONZACI933MZ(7/9/11) -
FEDERAL WAY WA 98003 PUYALLUP WA 98374 12709 120TH AVE CT E
PUYALLUP WA 98374
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
`Add ti`nal'N,rthr on
�.I11fOrniatl
Mechanical to be Included') ,, No Number of Stories 3
Permit for Building Shell Only? No Plumbing to be Included No
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, March 13, 2010
Permit Issued on Monday, September 14, 2009
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 t City of Federal Way.
Owner or agent: 1,/,/77://?"'" c Date: Gt7/1"/r 7
P.(NAU•OP1/4 .10
,. .80,447S,..._ THIS CARD IS TO R MAIN ON-SITE
CETY° ,...,'''" 0Construction In ction Record .
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103531-00-MF Address: 27606 PACIFIC HWY S Apt J302
Owner: SILVER SHADOW APARTMENTS FEDERAL WAY, WA 98003-3402
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.
El Footings/Setback(4110) El Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
Re-steel (4215) 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
Floor Sheathing(4105) ❑ Shear Walls (4245) El
Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install rooting
By Date By Date By L C"V Dates' to-0,
❑ Fire/Draft Stops(4095) 0� a Framing 0 Framing (4120)
Prior to scheduling a amininspection;
Approved Electrical,Plumbing&r Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and � /{
By � Date ���1 approved. IBC 109.3.4 By M. to U
0 Insulation (4150)
t 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date . A By Date 1 _acs By Date
•
0 Final-Fire Department(4/60) Final -Building(4050)
Approved J Approved
By / /� C Date /z/;//7 By ft,"/".- Date //i� /G,
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
" - l� 3 4L
•
CITY OF IPERMIT F CO ME EL PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES Ap p LI CATION l _... ../1
253-835-2607•FAX 253-835-2609 /
www.cituo((ederalwau.com
SITE ADDRESS , `
RE
D
SUITE/UNI piC` ZONING 1 1`LI" - 3 ASSESSOR'S TAX/PARCEL# C E
�. ��
a ; ., <: �at�Ga- \WOW' r a�3': � MAW, �
.,z;< } ,.,
NAME OF PROJECT I- FED
�F�l. VV
(Tenant or Homeowner Name) t vtt \'Nt, ( C CDS
)(BUILDING
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
•
PROJECT DESCRIPTION
Detailed description of work to � ' I IrkC 1 \L 01-
be included on this permit only (.) C` - b1� O1 19 ,t.
jj
NAME PRIMARY PHONE
PROPERTY OWNER5(\ , y c ,Ve MS? )?J G - 7;t t',"
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
�" )e, ac" '',.�c) Y1S4 (. r ) ;)7 L -
STVE,CONTRACTOR MAILING ADDRESS,CITY, E, FAX
12-700i 7,7 �"ZIP i1 �c C� - c ( ) -
W ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
OVvZ-CtC —1-C' 3 I a
NAME PRIMARY PHONE
APPLICANT - [ t V1 Qr) h7C-\1r7 ( �) 3/6 - ��rfi
MAILING ADDRESS,CITY,STATE,ZIP FAX
•
�)-7C�Cy /2 C -Hi (i ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and )
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19 27.095) ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reli ce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city/ as a part of this appl pion.
SIGNATURE: • /-11P �` a/I C� `�CO�z• < DATE 6,7 /./7/(2, -'
PRINT NAME:
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
. alli
MECHANICAL FIXTU i
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITSFANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS ,ice HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gaal
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTUR0.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shove:Combo) LAVS(Fiend sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJEET VALUATION ATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
? 6CCC $
_.EXISTING/PREVIOUS USE ---- LOII SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL 9.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
-- — ---
FIRST FLOOR(or Mobile Home)
— —��
SECOND FLOOR _._...--
COVERED ENTRY -- — ---
DECK., - ------.___..
GARAGE ❑ CARPORT ❑ --- — —
OTHER(describe)
EXISTING PROPOSED TOTAL
— -- — — —__
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Tit
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL- REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area OccupancyGroup(s) Construction # of
in Square Feet p( ) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application