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04-103541
. �t City of Federal Way • Community Development Services Building - Multi Family Permit #: 04 - 103541 - 00 - MF 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 Project Address: 501 S 321ST ST 8 1 cls. 3 Parcel Number: 132150 0080 Project Description: Tear off(2)layers of existing composition roofing. Over existing plywood sheating,install 30#ASTM felt and Corning 30-year laminated roofing system with algae resistant qualities. Owner Applicant Contractor Lender Christine R Hendon NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC NONE 501 S 321ST ST#3A PO BOX 1697 NORTHRS088DW 10/14/05 FEDERAL WAY WA KENT WA 98035 PO BOX 1697 98003-5848 KENT WA 98035 NONE Includes: Census category: 555-Non-st #1 #2 f #3 #4 Occupancy Group: I Construction Type: Occupancy Load: Floor Area(Sy Ft) Census Category 555-Non-structural roofing p Mechanical No Plumbing No PERMIT EXPIRES March 2,2005. Permit issued on September 3,2004 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 ' acc rdace with the laws,rules and regulations of the State of Washington and the City of Federal Way. r Owner or agent: Date: [%`f - THIS CARD IS TO�.MAIN ON-SITE ' ' CITY OF 5 itommunitYDevelopmentInspection Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103541-00-MF Owner: CA- CjYe-Et-N Address: 501 S 321ST ST \ 3A %t cL . 3 FEDERAL WAY, WA 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) 1 Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date 1 ❑ 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) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date O Roof Sheathing(4220) ❑ Fire/Draft Stops (4095) f NOTE: Prior to scheduling a Framing(4120) Appr ved to install roofing Approved 1 inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date. f " O 4 By Datesigned-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 CeilingGrid (4265) Final-Fire Department(4060) Final-Planning ❑ P ❑ P ❑ (4070) Approved to drop tile Approved Approved By Date By Date By Date ❑ Final-Public Works (4080) 0 Final-Building(4050) Approved Approved By Date By f1.1 Date /-/c7"- ��.�' • 3 57�Federal Way PERMITCOMMUNITY DEVELOPMENTSERVICESSF6 __, , 0 ME EL PL DE EN FP 33325 STM AVENUE SOUTH• BOX 97]8 P °A PP L I C A T I O N FEDERAL WAY,WA 9806363 `.,'--97]8 - _TO / / 253-835-2607•FAX 253-835-2609 ww w.dhtoffederal u.a u_corn The following is required information-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type. _••PROPERTY INFORMATION °, tSITE ADDRESS "?ts' 420 u'�t. i\` r 4D► .t -J I SUITE/UNIT# /' ASSESSOR'S TAX/PARCEL# L 3 a ( 0 - OD LOT SIZE (s) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desenption) ' - r •.': .' ■ PROJECT INFORMATION (TYPE OF PERMI ) UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) ia.4.- -Eit1= 2 Lal cig7 L.,t:- .1(IS1,.4L? CC,w,.c,S,i'ta.v k+v0 Lt.) X N+c.+S 01/4-4,?_4-: , CC, 2,U ^► �N eve Kms- L�+�+tNA\ Ft :l fj Sis-fiW+ w.t,E C C.p PROJECT NAME(Name of Business or Owner Last Name) Atm , .`'7 4 ,... - -- - I PEOPLE:INFORMATION PROPERTY NAME OWNER '� ��COL Q11 � %1)1N4 - (.zcPRIMARYPHONE WV ��ly YrI CITY,STATE,ZIP (�S7 ) y �� MAILING ADDRESS 1 (°7L' S. '3,2,-It" 5r *4 C r .-t)pf,-- yiNi ; A ` uCc3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE A:,gAAm=iii 1 ,.. '`Lv+C.e ct.-rr, ti:,<,,i -:,,h y '"' ( . )'ty -G'1L-'5 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE - i;;. t?x x w`=1 r ,_)A `i c i ( . .,,... 1 42; - 3 ,►cj CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - 1:L4 2"CA 47; ` — — — — — B L I Z / / L ( : ) - viL CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY IE APPLICANT NAME I FFICE PONE -MAILING Açoc -Oc). . ESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME. y 1�y PRIMARY PHO E E-MAIL ADDRESS ��5 ►-V ( -du ) qa; - v� LENDER Per RC .27,095: Lender information is NAME 111iii required if project value exceeds$5,000 f l RJ _z MAILING ADDRESS CITY,STATE,ZIP ' F '•'''.• DETAILED BUILDD/G INFORMATION - EXISTING USE / 4 F (Q_ s PROPOSED USE G — -_ F {l EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ is I I )1) 0 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN. o HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC) ..,, :- • PROJECT FLOOR AREAS --- _�____1. AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. TOTAL FMIIIIIIIIIIIIIIIIIIIIIIIIII SECOND IMIIIIIIIIIIIIIIIIIIIIII THIRD NIIIIIIIIIIIIIIII FOURTH 'IgIIIIIIIIIIIIIIII 111111111.1111 ADDITIONAL FLOORS(D' RIBE) 1111 - 41111111 DECK(COVERED?) NIIIIIIIIII MIIII,44.11liiillIllIllIllIlIl GARAGE/CARPORT TOTAL EXISTING AND PROPOSED TOTAL EXISTING NEN" HOW MANY FLOORS? "NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SEL 'G PRICE $ Indicate number of each type of fixture to be installed or relo •ted asxgart of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ ' REFRIG.SYSTEMS AIR HANDLING UNITS EVAPORAT COOLERS GAS LOGS 1,ODS icommorci I WOODSTOVES BBQS FANS RAND S MISC(Describe) BOILERS FIRE CE INSERTS COMPRESSORS F NACES GAS W•' R HEATERS DUCTS AS PIPE OUTLETS PLUMBINGWATER CLOSETS(io cq MISC(Describe) BATHTUBS(orTDb/snowtrCombo) SHOWERS SINKS DRINKING FOUNTAINS DISHWASHERS SUMPS RAINWATER SYST GAS PIPE OUTLETS URINALS HOSE BIBBS WASHING MACHIN•' ELECTRIC WATER HEATERS LAYS Bathroom S S. s VACUUM BREAKERS =DISCLAIMER/SIGNATURBBLOCK _ • of perjury that the information furnished by me is true and correct tto the bbest application of myis knowledge, e, and f gee ,that I hold I terrify under penalty p J ^J (including expenses, attorneys'fees incurred in the investigation and defense of am authorized by ofhe Federalar Wayof the above premises to nrc the work for which the p harmless the City toy any claimngthecosts, ig and again such claim), which may be made • ny person, including undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the ;including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. © / /_ ,�1 ,5a-- DATE -1 / 3lD i lam,}=�� !! NAME/TITLE (Title) �'; aures RELATIONSHIP TO PROJ' 'T o Owner ❑ Agent Contractor o Architect o Other FOR OFFICE U:E E ONLY oTENANTIMPROVEMENT . NEW °ADDITION ❑ALTERATION °REPAIR °YES ❑NO i BUILDING SHELL ONLY? °YES °NO BASIC PLAN? { ZONING DESIGNATION CHANGE OF USE? o YES o NO l UP/SEPA/SU? °y�5 ❑NO NEW ADDRESS REQUIRED? ❑YES °NO DEMO PERMIT REQUIRED? °YES ❑NO PLATTED LOT? ❑YES °NO s Bulletin#100-March 30,2004 - Page 2 of 4 I:\Handouts-Revised\Permit Application