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05-104159 • • City of Federal Way Building - Multi Family Permit #: 05 - 104159 - 00 - MF Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: CAMPUS GREEN,BLDG 1 Project Address: 506 S 321ST ST Unitl-A Parcel Number: 132150 0010 Project Description: ALT-Tear off roofing down to sheathing and install new 30 year roof. Owner Applicant Contractor Lender PROTOCOL PROPERTIES NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC NONE 1703 S 324TH ST SUITE C PO BOX 1697 NORTHRS088DW 10/14/05 FEDERAL WAY WA 98003 KENT WA 98035 PO BOX 1697 KENT WA 98035 NONE Includes: Census category: 555-Non-st #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Load: loor Area(Sq.F t.): JJ Census Category 555-Non-structural roofing p Mechanical No tilgif Plumbing No CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 1)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas"and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES February 13,2006. Permit issued on August 17,2005 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 agent: Date: l 1 7(c C S DATE INSPECTOR AREA AND TYPE OF INSPECTION f3A r /# c c5/-4)97771/464 /00X:777/ ,j �S/�� A O? G,9 . THIS CARD IS TO REMAIN ON-SITE ilk CITY OF •ommunity Developn#nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104159-00-MF Owner: PROTOCOL PROPERTIES Address: 506 S 321ST ST Unit 1-A 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) 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 ❑ Re-steel(4215) 0 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) 0 Floor Sheathing(4105) 0 Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By LDate By Date By Date ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 • ❑ Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date i By Date By Date ❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ,❑ Final-Planning(4070) Approved to drop tile Approved Approved By Date By Date By Date s ❑ Final-Public Works (4080) ❑ Final-Building(4050) Approved Approved By Date By r f Date rO‘o/er (32t dip REc VED CITY of • - l l 5 Federal Way 1 7 z IERMIT COMMUNITY DEVELOPMENT SERVICES AUG' SF CO ME EL PL DE EN FP 33325 8r"AVENUE SOUTH•PO BOX 9718 R ISI C AT I O N TD FEDERAL WAY,WA 98063-9718 CITY I Y 0 253-835-2607•FAX 253-835-2609 V BUILDING DEPT. PT.. / x www.cituoOederalwau.corn The oliowin. is re.uired in ormation-an incom.tete a..iication will not be acce.ted. Please .rint le.ibl (in ink)or t .•. ■ PROPERTY INFORMA-0'1)TIONSITE ADDRESS ;) HCl 5; _5 5 'r, lJ t 4 j. SUITE/UNIT # ASSESSOR'S TAX/PARCEL# - 1... .1(1) SI LOT SIZE(sf1 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) l/ (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 263UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlil) acs �, � � a � dn,�.,� 1-0 d-ec K aK,� 3-t..5. -d, ( l /VCc4,/ 3Qy_ v-oc f Sy5+4 PROJECT NAME(Name of Business or Owner Last Name) C°AAA.10 �C evx MI PEOPLE INFORMATION PROPERTY NAME ,/� PRIMARY PHONE OWNER Pro• c p ° I P r-ope,, - ) AO`vl'LLC/e' evve-v1. (pcgti9) q3(� .Q 3 MAI (LI GO 3_S S. aC r CITY, �ZIe✓-Gl 1 "" d- // r� CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE OOPS C L d 6 Ar✓-o (2 5)X5`1 C yc) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 16/7 1- We /F0 (tot ) 7s& -)?k CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Q.-_0 3-i 0 1 5 _ - B L 1 01./ 3 i / o ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE Yg. r w t E o 2 a n 1 0 / [ S / �©©c APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE 6.44e- Cas Gp✓t(_tra k"C)C''.. ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 111Architect ❑Tenant r/Agent ❑ Other(Describe) CO"i'' rc`F6--- CONTACT NAM ('..cs,,� PRIMARY PHONE (, E-MAIL ADDRESS i7 ) 766 - tL� LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE • DETAILED BUILDING INFORMATION EXISTING USE /4 f .1t.e44 1:415-144-- PROPOSED USE S Ckt4& c EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1 3: 3 2..5. 0C SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER Li LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) t 1` • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offLcture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS* RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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. l r% NAME/TITLE TT P 4'�U�T-�G'c� Ala tl'�Y y Q,d`� DATE g/ ' 6 l Signature) tI)j 1 RELATIONSHIP TO PROJECT ❑ Owner ❑Agent f Contractor 0 Architect 0 Other FOR OFFICE USE ONLY ❑NEW _1 ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? _YES u NO BASIC PLAN? a YES u NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? u YES o NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application