04-103777 • . .
City of Federal Way Building - Multi Family Permit #:04 - 103777 - 00 - MF
CommunityDevelopment 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,BUILDING 5
Project Address: 513£ '321ST ST Bldg5 Parcel Number:132150 0170
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: i R- __H1
Construction Type: Type V-N
I Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 555-Non-structural roofing p Mechanical No
Plumbing No Zoning Designation RM 1800
PERMIT EXPIRES March 19,2005.
Permit issued on September 20,2004
I hereby certify that the above informatirn is corr-ct and that the construction on the above described property and
the occupancy and the use will be in .. • ird nce • ith the laws,rules and regulations of the State of ashi _ton and
the City of Federal Way.
Owner or agent: Date: �,, _�
,. THIS CARD IS TOMAIN ON-SITE
CITY OF �> ' 4tommunitYDevelopmentInspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103777-00-MF
Owner: PROTOCOL PROPERTIES
Address: 513 SW 321ST ST Bldg 5
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.
❑ 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) ❑ 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) •❑ 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 inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By , Date 9-2/ 0/ By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
\ ,
❑ 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
Onus eS p ded Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final-Planning(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 a lr Date C/ 2- /0r
`3325 8th Avenue South •
WayWA 98063 9718 9718 0 PERMIT — k 0 3 7 7
FederalSF Zlir O ME EL PL DE EN FP
253-835-2607;Fax 253.835.2609
APPLICATION CATI O N
www.cityoffederalway.com An) /
The ollowin• is re•uired in ormation-an inco •tete a.•lication will not be acce.ted. Please .rint le.ibl (in ink)or .-.
22 PROPERTY INFORMATION •
SITE ADDRESS c 1 7 4 '2-\ ' l*- ZL-O SUITE/UNIT#
ASSESSOR'S_TAX/PARCEL# l 3 ,L ( STC - 0 / 7 ( ) LOT SIZE(4) ,`
��
EGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT Z4 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
1 Com--Orr 2 i-Al i Q F- C.d 04l i`i-iri !4►J P .1.1,+SZA-“.. A- 'IYK.,J ? .Y p-
COiM-¢0SIr 13r+ AGF SySi dun kiln+ ALGAE 17-.-4,ii,r4r,7 Qt&A-i_irt:e,j<
PROJECT NAME(Name of Business or Owner Last Name) ;-1 Wi c,U L7 G(140,•-1 )
PEOPLE INFORMATION
PROPERTY NAME
+'^ �^ _ PRIMARY PHONE
OWNER `7'�G \ilZ.it m(... ??Q-{Li" W1 �6e 04 i'&1J i (a ) ,i5 �OSL
MAILING ADDRESS CITY,STATE,ZIP
i 10 S. ,S2c.-F-t, '7 "C (O 1A)M,I,L✓i* '
CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE
N3i-T tkL4 c P-oeiF S Ic€ Art.JC. t O'eSp.-Rwvi-AJ (ay, ) g,51 - OcI 2,
MAILING ADDRESS CITY,STATE,ZIP (112)05 CELL PHONE
P-0. k..x 110'41 C 04 ) (2(;(j ) 421, - 31?,}9
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ /
- -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
1J 0 T i-1 9,- S v Y1 0 w 10 / )ti / ESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
CON1118 C 1'0 P---- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
V Py + ''! n (AO` ) ifZ3 -
;'61� E-MAIL ADDRESS
T
LENDERPer RCW 29.27.095: 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 $ 1 z 1�• L'..-
,
s
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES El NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN n HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL.EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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(rode) 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 math 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 'ty,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
7 [ Rf )oy
M
NAE/TITLELi. � t 7 DATE
:re) (Title)
RELATIONSHIP TO PR.r ! 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application