08-104426 • •uilding - Multi Family
City of Federal Way ,jj.��
Community Development Services Permit #: 08-104426-00-MF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: FOUNDATION HOUSE
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: REM-Modifications to existing multi-purpose room to convert to fitness and office spaces.
Includes construction of partition walls,doors,acoustical ceiling changes and mechanical
for ductwork. No plumbing on this permit.
Owner Applicant Contractor Lender
BROOKDALE SENIOR LIVING JEFF SKILLINGSTAD TROON CONSTRUCTION BROOKDALE SENIOR LIVING
32290 1ST AVE S TROON CONSTRUCTION TROONCC981MB(6/30/09) 32290 1ST AVE S
CHICAGO IL 60611 9252 GREENWOOD AVE N 9252 GREENWOOD AVE N CHICAGO IL 60611
SEATTLE WA 98103 SEATTLE WA 98103
I
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: LC
Construction Type: Type V-A
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building9 Yes Mechanical to be Included? Yes
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Assisted Living Zoning Designation OP
Plumbing Fixtures
Water Heaters 1
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, March 18, 2009
Permit Issued on Friday, September 19, 2008
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
'it -III
the City of Federal Way.
Owner or ag- Ia/ ' and the
I -`. Date: 9 L' ()
rig4.... ..,..s&
\42,41/4111
P ,.....:„..,„
\E.-4:a.,b
4146, , ,
THIS CARD IS TO AkMAIN ON-SITE
CITY OF ".-'' 4itommunitY p Inspection ment Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104426-00-MF
Owner: BROOKDALE SENIOR LIVING
Address: 32290 1ST AVE S
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 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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ 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) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Date .
NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 ,
BYI:.. ., Date l L— �C By Date
❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
❑ Final-Planning(4070) ❑ Final-Mechanical (4065) ❑ Final-Building(4050)
Approved Approved Approved
By • Date By Date By ,_, Date v a_2. ,
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
•
A.
RECE1jE[ • c _ c/ 2
CITY OF
Federal Way Su' 1 9 2008 PE RM IT r
COMMUNIYDEVELOPMENT SERVICES
SF CO MEQ 'L DE EN FP
33325AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 3TEL�`^r"Or rE /A PP P L I CATION _.
tA
253-35-2607•FAX 253-835-2609 `�
www.atyoffedetaalwati.com Cr
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
�•, PROPERTY INFORMATION, (kik
� lJ ?
SITE ADDRESS O2-2-(A`0 1 s, f�� o .G . -L:-); `1 (J q O 13UITE/UNIT#
ASSESSOR'S TAX/PARCEL# 112- ott' 9639. - E Z 'qG t LOT SIZE(sj
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for Imgthy legal deswiptimtl
• PROJECT INFORMATION
TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included o• his .ermit only)
C®NUt T --. ' tZ. INAAk Ti -A.,t�vaef i?, 'CT-1J --,/cspA ,
121 ti(e. L) i? O'c)le, f' IO ( -
51 rr.c=:l Li 0 t U._ .6'v .e'
PROJECT NAME(Name of Business or Owner Last Name) I—OLAPOi -rlOp—) t+)tt,SE o i 1.1
• PEOPLE INFORMATION
PROPERTY NAME / c PRIMARY PHONE
OWNERV (...?,.VQ10 Jt�(CJ' ( 53) O12:7 - 24Co\
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
Iii 1 i id cD P(111/41
CONTRACTORCOMPANY NAME i \T APPLICANT NAME e' - OFFICE PHONE
Zeftot toz—(0,-= •t �1c1t.t.iAL2 c ) (c2..)"7 -431-
MAILING ADD CITY,STATE,ZIP CE L P ONE
Qlc co .. N 1 iLx:A►- .ateto3 (* ) -
CITY OF FED WAY BUS ESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
crow's REGISTRATION NUMBEREXPIRATIOATE E-MAIL ADDRESS
CC cry\ Lt�4, - / /o'7 -i 5r (GG u_e, da.kc-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE / oil
el )A•3t ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent 0 Other ( ) -
PROJECT NAME . PRIMARY PHONE /, `�MRE
AILADDSS
CONTACT -- L'�f LU HIS 7 L)c -"[ 4- V Kt L�f. °.>Z�% I r)c.
LENDER NAME Per RCW 19.27.095: (.4
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE ,4-S5/57 Y Lf////U`
PROPOSED USE '�k1Y�
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WO - O +a
SPRINKLERED BUILDING? l(YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? i3-YES '$ 0
WATER SERVICE PROVIDER XLAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 5'LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• f PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD -------"------
ADDITIONAL
------/ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED sr TOTAL SF
**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.
MECHANICAL ,..... e:-
Value of Mechanical Work,4s,....2,,,---,c) (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerelas
_ _ COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS . SHOWERS WATER CLOSETS(roues
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BUM- T SUMPS
SIGNATURE
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
city asap• application.
ipook
ZGNATURE: AV ," �/. .A i` DATE /,4g
z) e
rG Property er an'or Authorized Agent
...
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application