04-103674 t F Y
S 0
City of Federal Way Building - Multi Family Permit #:04 - 103674 - 00 - MF
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CAMPUS GREEN I CONDOMINIUMS,BUILDING 4
Project Address: 507 S 321ST ST P>Lt)& Parcel Number: 132150 0130
Project Description: ALT-Tear off 2 layers of composition. Install a new Owens Corning 30-year algae resistant
composition roof system.
Owner Applicant Contractor Lender
PROTOCOL PROPERTIES NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC PROTOCOL PROPERTIES
1703 S 324TH ST SUITE C PO BOX 1697 NORTHRS088DW 10/14/05 1703 S 324TH ST SUITE C
FEDERAL WAY WA 98003 KENT WA 98035 PO BOX 1697 FEDERAL WAY WA 98003
KENT WA 98035
Includes:
Census category: 555-Non-st #1 #2 #3 #4
[—occupancy Group: R-1 Er
Construction Type_ Type V-N L
Occupancy Load
E— .
LFloor Area(Sq Ft.): - -- l
Census Category 555-Non-structural roofing p Mechanical No
Plumbing No Zoning Designation RM 1800
PERMIT EXPIRES March 12,2005.
Permit issued on September 13,2004
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 accoi1dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
r
Owner or agent: ui
� �'..,;',, Date: f
,.._ ..,,,..,Sit„ THIS CARD IS TO•MAIN ON-SITE '- 4
CITY OP = ��: .. ommunity Development Inspection Record
P P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103674-00-MF
Owner: PROTOCOL PROPERTIES
Address: 507 S 321ST ST
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.
❑ 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) 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 Date By Date By Date
0 Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) t 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
By Date
/'--D 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 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)
Approved Approved
By Date By Date 9r 4'"0
„„._,..4.*__ .73-.,,,. soci ,
PECEI I-U
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Federal Way ..,- OP q - ( 0 3 6 '`.7 y
P— -"F �� ti "
S' CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
.PO
33325 FEDERAL
WAY,WAT 8063 BOX 9718 APPLICATION _I-,..
FEDERAL WAY,FAX
98063-260 /
253-835-2607•FAX 253-835-2609
wwu,.citgofrederalwaq.corn
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The following is required information-an incomplete ap•lication will not be accepted. Please print legibly(in ink)or type_.`
: • .,. . III PROPERTY INFORMATION .
SITE ADDRESS ,)o.1 ,/, 61\S` 4)7Mit 16t-(), 14 LA SUITE/UNIT#
ASSESSOR'S TAX/PARCEL#
1 �- �� %Th
---.1 LOT SIZE(s.fl
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal des r prion)
•:".i:':',:".:. ' -- ■ PROJECT INFORMATION
TYPE OF PERMIT ;Q BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION D ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Ii=-t::1; 2 L-A-1 0 g- '` ,
A MQ- 0a+c,N4, Cb0-r),Mr 50 se
Ne-41VIL At u4 4.4_s,Str,.2i v,„
PROJECT NAME(Name of Business or Owner Last Name) aPIIVIQ 4 47 6-fsek..la I
a. :. .. ;`. U PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER -0 iN\, 4,0to da L �9G IR)03,,,,m4,9:-04,1r.)
� ^ � (��� 43'5`; - CO. i I
MAILING ADDRESS
CITY,STATE,ZIP Z
1/5,t) I”) '5: ,4 t`•- `71 6,t,i * L 1" ,�-t- w,A-.7 k nt 9/0,0'
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Nt.T-1"ti wt5l %= 174%;,C)14, W.- •;i(4tt \)e-,i,..e.. vtnh-,-J ( `p ) 4541 - 0i0'�
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
'o: 30% 1641 11 k,)i t 10o,5-- ( ) 3 - 3,;1z)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 i —1) ..3_—. I 4 `i 3 —— BSL kV/ 3i / vLi- ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
N ti 9-- V iA lZ 4, 0 2) 21 0 t , 1 j / /,2oc
c
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
CeN MALE U(L ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
)` {).. �-vkAA.` .; (,2r4„.„ ) L4 z7, - .• p ',
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
` . ,-,■ DETAILED BUILDING INFORMATION • ; . _.
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ,i v l U''J-
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ FIIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING::Q-k-r. PROPOSED SQ.FT. TOTAL
ir
BASEMENT
FIRST
SECOND
THIRD —
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
*'NEW HOMES ONLY'* NUMBER OF BEDROOMS _
ESTIMATED SELLING PRICE $
Indicate number of each'type offuture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
BBQS FANS HOODS(c...,..1)
FIREPLACE INSERTS RANGES MISC(Describe)
COMMPRSPRESSORS FURNACES OGAS WATER HEATERS
C
DUCTS GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS Rode) MISC(Describe)
DATHTUS (ecTub/sno<,combo DRINKING FOUNTAINS
DISHWASHH ERS SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE BIBBS
WASHING MACHINES URINALS
LAVS(e tnr m 5.-a.)
VACUUM BREAKERS ELECTRIC WATER HEATERS
g'1
7 DISCLAIDIER/SIGNATII1tEBLOCI --
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 ny person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the ci in luding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
5412,( DATE
NAME/TITLE �� (Tine)
(Sign e
! RELATIONSHIP TO PROJECT 1 i 0 er o Agent 0 Contractor ❑ Architect 0 Other
i )
t FOR OFFICE USE ONLY I
o NEW a ADDITION o 6 TENANT IMPROVEMENT ALTERATION o REPAIR o YTS o NO
BUILDING SHELL ONLY? o YES o NO BASIC PLAN?
i ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100–March 30,2004 – Page 2 of 4 k\l landouts–Revised\Permit Application