09-103431 Building - Multi Family
City of Federal Way
Community Development Services Permit #: 09-103431 -00-MF
P.O.Box 9718
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- Clean up and removal of fire damaged improvements for post tire inspection of
damaged unit.
Owner A• •1' an •ct .r Lender
SILVER SHADOW APAR MEN ALEZ_CI ST' CTIO SNZA Z CO S RUCTIO`
27606 PACIFIC 2709 12r ECTE 1 u N •33M, (7/9/11)
FEDERAL WAY W 98003 LLU' WA 98374 1.'t` 120
P 4 Y A UP WA 98374
CensusItttp999 - U no n
71 i
Includes: = 1C,
#2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Numher ofStories 3 tar
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit !! ,,,,, , •-. , , VIN\r, ,,,,,‘,
PERMIT EXPIRES Tuesday, Mar., P A
Permit Issued on Thursday, Septemb• , 2, '
I hereby certify that the above information is correct and that the construe .n on t e aboveribed property and
the occupancy and the use will be in accordance with the laws, rules and regulatio,[11,4ktfe State of Washington
7 an. >>e City o. Federal Way.
Owner or agent: ,e- - / ` ird ;7 Date:f'')9/]/C
DATE INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO REMAIN ON-SITE - .
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-103431-00-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.
0 Footings/Setback(4110) 0 Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
El Re-steel (4215) El 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) 0 Shear Walls (4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
O Fire/Draft Stops(4095) ng 0 Framing (4120)
Prior to scheduling a Framing inspection;
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and ,
By Date approved. IBC 109.3.4 By Date
Insulation (4150) 0 Gypsum Wallboard Nailing(4130)'
o 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final -Fire Department(4060) El
Final-Building (4050)
Approved Approved
By Date By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
CITY OF PO Box 9718
Federal V (ayFederal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www.citvoffederalway.com
INCIDENT DAMAGE CHECKLIST
Case# O q /o '/3 I
— Oc›- ,41 ,
Owner's Name: S ,' ( flaw- 5,lG p J Apf,Phone:
Date of Incident: c`3 -2.2;1) / Date of Inspection: '1 —/0 — 0 7"1(� Paz.Address: 2 O Paz. g�/ .6. 2- 30 Z
Nature of Incident/Scope of Damage: ��V+L t i la 5� ) � r�a l 1 ado
"TetAsst5 I I tip.h. t- Vv�. ., , / _ ' it.
(If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.)
Building Posted:
❑No OCCUPANCY ❑ DANGEROUS BUILDING gt OTHERI rt.. ❑ NOT POSTED
Perm' equired/ /
UILDING PLUMBING MECHANICAL ELECTRICAL 10 DEMOLITION
Plans Required: Cil Yes ❑ No Plans to Show: Tette S S Sp Q. . S
Engineering Required: 2Kes ❑ No Specifically: 7;(4,.5.5 w.Ss Spm,—.,[•,..,
Demolition Complete: Yes ❑No ❑ N/A 2"d Inspection Required: ❑ Yes Pre
Permit Application Information Provided to Applicant:
❑ Demolition Permit Application ❑ Building Permit Application
❑ Submittal Checklist ❑ Electrical Permit Application
❑ Other
_ -— . _ /�� (253) 835- Z. [O[OZ.
Inspector Phone Number
*APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS**
fl A •
Federal Way PERMIT MF CO ME EL PL DE El� FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION / /
253-835-2607•FAX 253-835-2609
www.atuoffederalway.com
SITE ADDRESS g �
SUIT-1(c 0 (0 c)(,;( 1 (NIT# ic ZONING 1 / ASSESSOR'S cl�/PARC�L#fq w c/ i ck s o y ,
_�l - - - - - - j-
, 3 a y� y; 1 ai „g 3 �q
NAME OF PROJECT . .-
(Tenant or Homeowner Name) ( 1,I 0 41 2 (D �yl 4i1 IC)-2
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
M DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Oyr0 Q1)(-. tvCU�1-- C�`,t \ e �- -- )v\svkq�10�, - (c, ; voce.
Detailed description of work to
be included on this permit only 1."-P O S. ( IA ✓.t-_ i
IA- la -
1,1,:?'. -¢ ',1-:',4,-s, '. 3 ✓g 3 .:;, ,,93.',_ , dr� - ;;,... 6� t r �,. a �ti � '.- _ „ �->• �
NAME PRIMARY PHONE
PROPERTY OWNER C i 1 7,e V\A Cl S , (� )3.i? - g ,
MAILING ADDRESS,CITY,STATE,ZIPE-MAIL
,,, -76 (\ (_, )0,.c.,.(„_ \ �.�
OWNER IS ALSO: o CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAPC; \ PRIMARY PHONE
L r\z Ck\t.:z co v\S-V,( u c�\e, vl - ( s3) 3.76 - 7a9'-/.
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
r27f C1 /( .0/11 4+-1C C'- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
OZL',yve_ck _i-cR 3N1/4-k7— 67 / OC( / t/
NAME 'L�1 PRIMARY PHONE
APPLICANT c'��\\:V ( ZC v'- G)'e - (,,5 3) 376- '7 Z 94/
MAILING ADDRESS,CITY,STATE,ZIP FAX
('?_ ?� - `�i \ � � �•e ��� ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and , $)Jc:V'\ C Qa y\?G\CZ (:j3')376*- ,› C/e---/
respond to all correspondence MAILING ADDRESS,CITY,STATp,ZIP . FAX
concerning this application) 1,27L Cr ,/�(, T/ 1�'C n / �� L �i �/y�S i�y ( )
ALTERNATE CONTACT NAME: Y V Y GI V P PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of th' ypplication. / �-J
SIGNATURE: 7/dvi ( !0 YI /c r,DATE e [d'/a •
PRINT NAME: /4'Gil ( .si 2Cf k 7.
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
r
mss:. ..; <
Value of Mechanical Work$ (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 UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
n
IAA
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/Shower Combo) LAVS(Hand 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
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT -- ._ ....--------------------
FIRST FLOOR(or Mobile Home)
-------...---._...---
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT El
OTHER(describe)
EXISTING PROPOSED TOTAL
— _—_--. —
Area Totals \
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERC NEW/AIDITION
AREA DESCRIPTION Area Construction #of
i Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
( V1MERCIAL REMODEL'; PANT' . ROVEMENTS
AREA DESCRIPTION Area Construction # ofes Additional Information
in Square Feet Occupancy Group(s) Type Stori
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\I-landouts\Permit Application