11-101815 Multi Family
City of Federal Way •
Community Development Services Permit tt. 11-101815-00-MF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: FOREST COVE APARTMENTS,BLDG 1909
Project Address: 1909 SW 311TH ST Parcel Number: 122103 9141
Project Description: REP-Permit to inspect fire and smoke damage done to an existing 2-story,4-unit
apartment building. Damage done to Units A,B,C,D ****NO CONSTRUCTION
WORK APPROVED UNDER THIS PERMIT SCOPE OF WORK. ****
Owner Annlicant Contractor Lender
FOREST COVE LLC GODWIN MOY
12000 NE 8TH ST SUITE 200 PO BOX 50611
BELLEVUE,WA 98005 BELLEVUE WA 98015
Census Category: 434-Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Mechanical to be. Included? No Numbei of Stories ........'.' ......... ....:... . 2
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
(000:1011 /0, t
PERMIT EXPIRES Monday, November 7, 2011
Permit Issued on Wednesday, May 11, 2011
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: alOt44-^ Date: ,71//201/
_ _. THIS CARD IS TO MAIN ON-SITE .rt
CITY OF • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-101815-00-MF Address: 1909 SW 311TH ST
Project: FOREST COVE LLC FEDERAL WAY, WA 98003-4921
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.
Final-Building(4050)
Approved
By Date
•
El Rough Electrical ® Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OFE R M I T 119C0 ME PL DE EN FP
Federal VUCEIV
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609 j
cityojfedera notcom. mAy n, A
SITE ADDRESS++� TY OF FE DERPcL A' SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT XBUILDING 0 PLUMBING 0 MECHANICAL PAS'IO-FRCriaV
0 DEMOLITIONy� 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT nCi;1,eZ ! CCVa ie P•1044' #W
(Tenant Name/Homeowner Last Name) (�
PROJECT DESCRIPTION f7irE /���,{0�� I, i�A 74' / Iver- 2_,Pro,tyc+
Detailed description of work to -i 1,/ / ,4PA iY! i9L O�l�1/✓ CO ,e47 Q% •
be included on this permit only I/a- iPAL Oi ,p-(•+ 7Jj 5r /N `,MP
NAME PRIMARY PHONE
PROPERTY OWNER 15f L CQ/j'�A-iv/J (C/O cW�N) 25 8 3B 74a9
MAILING ADDRESS ✓ E-MAIL
3/04' 197'PL • SR/. 14V Gt Loner
CITY PSL w STATE ZIP 0,23 . /9•
W�
NAME l PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N (5V /�Y �og PHONE
8/29/
APPLICANT MAILING ADDRESS E-MAIL'JJ
Calf
CITY STATEZIP FAX�O � ,
PROJECT CONTACT NAMEPHONE
C.'A``N N Oy 206,6/0/20/
�6/0/n 0
(The individual to receive and vV ! G r/
respond to all correspondence MAILING ADDRESS ,.,! E-MAIL
concerning this application) `o ROA5�V[7// etZOL/4ME'
CITY STATE
i4:.Nf —aPte A ZIP FAX
9Oois M
ALTERNATE CONTACT NAME: PHONE E-MAIL�Q /�/2cv'
_..._-CTt'/XiN YAW& _ _ 2c�2272022 Ca y, •cN
PROJECT FINANCING NAME
X OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE: '� DATE .////2
0//
PRINT NAME:
6nV/
f N nwo
Bulletin#100—January 1,2011 Page 1 of 3 k:\.Handouts\Permit Application
00 •
.�. a _ a,:;'`
' ..` '._ '� ate,
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES.
€v 9 • d . yyx' a S �,. I '< 5 7
s";•• ;�,1�. ..,;rc. a_ «,' . ;a at' ...'; a,.<.,.':..... z €°� r.< :fh
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOT lta9a
C„iLu�'A• �- ;;)!',A,)RI�TICAAREA" 2 OaNPR.PR3�? WARPUROR W`.z,,R „xx
PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes Cl No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
”
FIRST FLOOR(or Mobile Home)
I ii# s� � ry '• b s' a a- tfs
>
COVERED ENTRY
'
GARAGE 0 CARPORT 0
x,.
Area Totals stasnxa pROPossD rareL
r
ESTIMATED SELLING PRICE$ #OF BEDROOMS
c Jaz zx t / r 3 >
•
^'`f-.,� s�'x :. '. 'x i,<, s'z"�. 4 �� ° � s ? �, •� a ss ss:
AREA DESCRIPTION NMI Occupancy Group(s) Construction #of e Additional Information
• Stories
ADDITION
z'� .. � � n� ,s:� x sty 6�as � f '•�3 z3 :� •�i :�� a � J I� �" °� �
.., �.�ka ,r. ��•�.,� `` �.�_r..., .`�,s.'..�:�.�..��,°.� rsz.�»..�s. a ��:�°'a.: �'„r...,�,...a„��, '.:ski i,�„?�„ ,. " ::'��� '.ash;� �.;
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in S•uare Feet •e Stories
,is c pie) - r'a'y; .;i,'. ” ;-
TENANT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application