05-100103 Federal Wa
y _ PERMIT 4110 S - l C� . D 0
COMMUNmDEVEL uPMEn7.SEevfC;es,, 1 0 ?..305SF 0 ME EL PL DE EN FP
• 33325 8*�AVENUE SOUTH•PO 9'�3� �
FEDERAL WAY,WA 98063-9718 a p P L I C AT I O N ro,
253-835-2607•FAX 253-835-2609 /
unaw.dtyo(federahaa "y }a- i�-f Ir„y'" ,. /[
The following is required information-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
•,PROPERTY INFORMATION
SITE ADDRESS 5 / / 5 - 3.2 5"-- -- wt:ol 23 t SUITE/UNIT# 2.3 -6
ASSESSOR'S TAX/PARCEL# _
LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenpnon)
■ PROJECT INFORMATION '
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION D ELECTRICAL ❑ ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
11-AZ RE- UJcr 5 CL 122. i n -rk Ls Co 0 0 S A-.---,,`c__ "rs\-lr
t,-")4 q. e,e-i I--%v1 --'Y'�L S s u3,Rs_ e I✓t.`t" o c_t_-t'
Tilt f ar b -rt-,:� r l re .D€43-1-,
� 2 _ - L(c� d1
j`n Io t/ 4,,Y 6O 1-r-5 ✓�
PROJECT NAME(Name of Business or Owner Last Name) N 14 1:k9 in GI
"` • PEOPLE INFORMATION _
PROPERTY NAME
OWNER C d ^ �A/Y,y��//1
^ /v7 PRIMARY PHONE
MAILING ADDRESS ` ' I r I C2-40) ?1.59 -3
5 // S` ;3 2, c'4- -1-W � CITY,STATE,ZIP
3 8 Fle:14L ,..4/'-, tats i , 9ro,5 8-
CONTRACTOR COMPANY NAME APPLICANT NAME
il1.3%.)---1.3%.)--- A0�S� OFFICE PHONE
,/1 /
MAILING ADDRESS CITY,STATE,ZIP /4* CELL PHONE
/6-, 3 2� n h/
3 -
�� �P4 SE 8/9lcfc Dia a. 4 (Z 0(9 Li-2-3-5gS3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE FAX NUMBER
/— —
CONTRACTORS u
REGISTRATION NUMBER(copy of card reequed with each applications / ( )
EXPIRATION DATE
/ /
APPLICANT COMPANY NAME �a� APPLICANT NAME
)'rave ,/v(/•� /7 7 ( 1- 71 - b
„;7„ OFFICE PHONE p
MAILING AD RESS/ ; �
CITY,STATE,ZIP CELL PHONE �j,
RELATIONSHIP TO PROJECT (5e %j �6 (266.) T g -4,T W
0 Architect ❑ Tenant , 'Agent ❑ Other(Describe) FAX NUMBER
CONTACT I NAME J� .�. /7 ! /fez PRIMARY PHONE
T �/(�� K E-MAIL ADDRESS
I ( 6 p8'bg2--r IPA /7:4-v4e4Ciefse.caor
LENDER
Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 rAt= — pP' 9"
MAILING ADDRESS a
nCITY,STATE,ZIP
"1 0 /?-eed "p7- /7 ee0
` `; '' , ■ DETAILED BUILDING INFORMATION
EXISTING USE i-lam e RAS/a Ce ''. PROPOSED USE ,5/97/7e-
EXISTING ASSESSED/APPRAISED VALUE $ 1
VALUE OF PROPOSED WORK $ Y',cjU��
SPRINKLERED BUILDING? 0 YES )(NO FIRE SUPPRESSION SYSTEM PROPOSED
/RF,QUIRED. 0 YES /,<N0
WATER SERVICE PROVIDER litLAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ZJ(LAKEHAVEN ❑ HIGHLINE
I ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTIO EXISTING S•. P I SED S•.FT. TOTAL
BASEMENT r" - -.----
FIRST
/FIRST o rl one, r1 oa( rr'0 !A ri V fd sA gv—
SECOND / / ,------
THIRD
--/THIRD
FOURTH 7
N
ADDITIONAL FLOORS(DESCRIBE) / /
DECK(COVERED?) N 0 n e r e r,e- /IOj/1 e h/Or`Q/
GARAGE/CARPORT ft A- Ivo- n /4-- /VA-
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AM)PROPOSED
HOW MANY FLOORS? 1 lf/
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
_: ar.,„__FIXTURES:_ - :, w_ = ;•-.:...•1_,%,.. .=.„•_:.-,..-_-__-__1.-„,-__-._
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
•
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS HOODSicomm«dal� WOODSTOVES
BBQS FANS
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES BOILERSGAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS q MISC(Describe)
BATHTUBS(of Tub/Shower combo SHOWERS Fo`
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom soars) VACUUM BREAKERS ELECTRIC WATER HEATERS
x i p ' D GNATUEEBLOCR -
_- .. _ - � ISCIA�RJS
- _ms �.. T �
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 • d employees, upon the accuracy of the information supplied to the city as a part of
this application. /1 /
� /v/t �l/7
NAME/TITLE I/I /�' �� a DATE(Title)
i RELATIONSHIP TO P•. T 0 Owner 7 Agent o Contractor 0 Architect 0 Other
E
( FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
f
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
I ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? ❑YES ❑ NO DEMO PERMIT REQUIRED? a YES ❑NO
•
f.
Bulletin#100-March 30,2004 - Page 2 of 4 k\l-landouts-Revised\Permit Application
• I
,y of Federal ay Building - Multi Family Permit #: 05 - 100103 - 00 - MF
ommuni Development Services
.'.0.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
q`
��
Project Name: CAMPUS GLEN II FIRE DAMAGE `ti
Project Address: 502 S 323RD PL UnitB Parcel Number: 132151 1020
Project Description: Repair truss that was damaged during fire.
Owner Applicant Contractor Lender
PROPERTY CONCEPTS&CORAZ( PROPERTY CONCEPTS PROPERTY CONCEPTS NONE
PROPERTY CONCEPTS PROPERTY CONCEPTS
5622 CALIFORNIA AVE 5622 CALIFORNIA AVE PROPERTY CONCEPTS
SEATTLE WA 98136 SEATTLE WA 98136 5622 CALIFORNIA AVE NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group:
Construction Type:
\_Occupancy Load: 1 -
Floor Area(Sq.Ft.): \ -
Census Category 434=Residential alt/add-no, Mechanical No
Plumbing No
PERMIT EXPIRES July 9,2005.
Permit issued on January 10,2005
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 of Federal Way.
Owner or age : / epi// Date: /---C 0
S11EJE .T TO !_.0 INSPECTION
\..... () A/a
c°\.) lit %/ (D (i)
V11/ o
FINALED
0 '
THIS CARD IS TO•MAIN ON-SITE •
CITY OF ...41/4:,
IlkCommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100103-00-MF
Owner: PROPERTY CONCEPTS
Address: 502 S 323RD PL Unit B
FEDERAL WAY, WA 98003-5807
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.
•❑ Footings/Setback(4110) ❑ 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) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
Underfloor Framing(4285) Floor Sheathing(4105) Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
• •
•❑ Roof Sheathing(4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved 1 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
By Date By Date
• •❑ Framing(4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
,❑ Suspended Ceiling Grid (4265) , 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
•.,❑ • 0 ('
Final-Public Works (4080) Final-Building(4050)
ApprovedApproved
L
By Date ,.)\KN 5 Date -
S
01/06/2005 10:00 FAX 2533832572 ABBLINC la 001
r f - •
1 L Eid:
isly 11111Project Memo
AHBL
TO: Pete Paulson
FROM: Kelli Butler
DATE: January4, 2005 SUBJECT TO FIELD INSPECTION.
PROJECT: Paulson Truss Repair
OUR FILE NO.: 205002.2
SUBJECT: Truss Repair
Pete,
I reviewed the fire damaged truss repair per your request. The loads on the bottom chord of
the truss require two 3/4" diameter bolts to be added from the new 2x10 to the existing 2x4
bottom chord on each side of the cut out section. This isa total of(4) bolts. Please see the
. attached sketch for the location of the new bolts.
Please call if you have any questions.
Sincerely, ;v o �` �N, ►;°'.
i
„..ete-C---fetete------- PPPr .e.cL),
Kelli Butle ' �s q„ j /— v�
Project Engineer A �,ON AL k,\C 'I
EXPIRES: ,�� IIII:
Posbt-iteFax Notey� n p�,7671 Dale pages I TACOMA
To f Pte f` .mise• 1 From
CoJDept. Co 2215 North 30th Street
Suite 300
Phone# i Phone# Tacoma,WA 98403-3350
Fax# 5 3D 253.3832422 TEL/-7 7G Fax# 253.383.2572 FAX
www.ahbl.com
k:\structu ra I\yr_2005\205002\memo-project-tacoma 1.dot
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JAN 1 0 ?ilr;„
CITY OF F -
BUILDING DEPTNAY
01/06/2005 10:00 FAX 2533832572 AHBL INC 17J002
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RECEIVED
JAN 1 0 2005
CITY W
BUILDINGOFFEDERAL DEPT. AY
•
BUILDING DIVISION
/: 33530 Fust Way South/P.O.Box 9718
( Federal Way,WA 98063
Phone(253)661-4000/Fax(253)661-4129
INCIDENT DAMAGE CHECKLIS �`
CASE# 01-105004
DATE OF INCIDENT: 1 Z1 C o4 DATE OF INSPECTION: k Z\q OA
_
SITE ADDRESS: I k 1)%1A 'a
t31 I6I -- 102-0 __ t
Nature of Incident/Scope Of Damage: .t-j mss. ,b r a )CA
‘c-Tdsz bot\onx. Co - � -ctA
-F-c,froAtAc..j)evwvace
(If value of damage is greater than 75%of assessed value of structure, a site plan is required)
Building Posted:
jSI NO OCCUPANCY 0 DANGEROUS BUILDING 0 OTHER 0 NOT POSTED
Permits Required:
El BUILDING 0 PLUMBING 0 MECHANICAL FZI ELECTRICAL 0 DEMOLITION
Plans Required: 0 Yes ,❑ No
Plans to shooww:�
''AJ ç' ( r
[WEN rrl l a (i ai,- f r' i't S i.& r 5 A'ti'`9
Olt T LOinut 0 Lokmp l 1 Lien e,P1‘54:noi - ,
A ;
Engineering Required: a Yes 0 No Specifically: ie\la4s),v oL.K 0
' r-mk, C 2 c
Demolition Complete: 0 Yes 0 No ❑N/A
2nd Inspection Required: ® Yes 0 No
Permit Application Information Provided To Applicant:
0 Demolition Permit Application
® Building Permit Application
0 Submittal Checklist
Fl Electrical Permit Application
❑-..I t er
%3S: A(raj_f
(253)6Er1
In,,i ecto Phone Number
**APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS**