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11-103637
*Building - Commercial City of Federal Way Community Development Services Permit #: 11 -103637-00-C4 P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: HALLMARK MANOR Project Address: 32300 1ST AVE S Parcel Number: 172104 9073 Project Description: REP-Reroofing existing building,tear off comp and installing new laminate composition. Owner Aoolicant Contractor Lender HALLMARK CARE CENTER DAN LUCE CONSTRUCTION& DAN LUCE CONSTRUCTION& HALLMARK CARE CENTER 3001 KEITH ST NW ROOFING ROOFING 3001 KEITH ST NW CLEVELAND,TN 37312 306 SW 12TH ST DANLULC902L1(6/21/12) CLEVELAND,TN 37312 COLLEGE PLACE WA 99324 306 SW 12TH ST COLLEGE PLACE WA 99324 Census Category: 555 -Non-structural roofing permits Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Permit Informat ,p, New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet'-Basement 0 Mechanical to be Included9 No Number of Stories. 1 Permit for Building Shell Only') No Plumbing to be Included? No New/Additional Sq.Feet-"I"oral 0 �•" th rs t'" - g .,.., rft a.. PERMIT EXPIRES Tuesday, March 6, 2012 Permit Issued on Thursday, September 8, 2011 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the e will be in accordance with the laws, rules and regulations of the State of Washington a e City of Federal Way. Owner or agent: - � � Date: _ 2 L t/e (1 THIS CARD IS TO MAIN ON-SITE CITY OF � ° Construction I ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 11-103637-00-CO Address: 32300 1ST AVE S Project: HALLMARK CARE CENTER FEDERAL WAY, WA 98003-5762 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. Roof Sheathing(4220) fl Fire/Draft Stops(4095) Final-Building(40.50) Approved to install roofing Approved Approved Byes Date —CA — 1 By DateByC � Date • ' ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ( ( 03 (p39 - 4 PERMIT ERMIT •M a ME PL DE EN FPFederalVv co82SEAPPLICATION 35-2609 www.citlioffederalwazi.com SEP 0 $ SITE ADDRESS rt\N-Ip:tCIT .1 YO F 0-� G ( \ ,„iv(pr. ' >" t 1 5-1 A-,,'e---5 felevAl Wet/ V1.4 eir ) PROJECT VALUATI ZONING ASSESSOR'S TAX/PARCEL# $ ,,V1tCt. - - - TYPE OF PERMIT Q-BUILDING CI PLUMBING CI MECHANICAL �,�� El DEMOLITION El ENGINEERING CI FIRE PREVENTION C, yy NAME OF PROJECT (Tenant Name/Homeowner Last Name) PROJECT DESCRIPTION iZ �e . i\1.?tAhY Detailed description of work to J be included on this permit only NAME/ PRIMARY PHONE PROPERTY OWNER h\'�'e t tl`sr' C E '-\ r 'NnE.c'&. ", —&14-]w.. 5-1g. © MAI IN DRESS E-MAIL . 7 t k ','v' -r' i;, u..? . _ CITYSTATE ZIP ' t-.,-►e 1 ' _isiAY 7 3-10 NAME 6\ti\ L-� LE E. 61 v '/`4r Kk-i `rh-i` /` PHONE Z 97 2_ -55/r 2, MAILING ADDRESS ..� E-MAIL CONTRACTOR V�% 1-2 1 ,);-_‘- c E Pr5e AC., '(: -1 CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# r EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# A—)6./Xt/ �_ t., (_ `f C 'LI / / NAME :TONE --.... .0,.,.\.\ 1.--..kkCe. Ce v\NT1'0,C 1 6 kr-i- .- ?tk q 72 -_5--16/t, APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and _ ` �' 9 72 —5-911._. respond to all correspondence MAILWG 6LADD,D��RESS E-MAIL � concerning this application) trc-.. 4 ‘'',2 1. 1.-1> S t 0 LuC p 1 ' ` e(___ CITY STATE ZIP FAX C];J,�� Cc1 \e7 e_ f1� a' ),4-'v � ' 3 � ALTERNATE CO11' ACT NAME: PHONE _ E-MAIL PROJECT FINANCING NAME ® 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 hc t ...eity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this applicati� )... OLr�.�-- \ SIGNATURE: C. 7----- -�PJ - 7 C ';� DATE PRINT NAME: er c''\ t`'�( E Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application 111, NIEcH\Y FIxT[Iiz>v f 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(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES ° e '� , � , •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(HandTOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS .SINKS(lUtchen/utility) ,WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES. CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile Home) tt ' 4.x,.1, ,a�COVERED ENTRY ENTRY ASN. r GARAGE ❑ CARPORT El EXISTING PROPOSED TOTAL Area Totals 41 i"*.*IVEW sows olvLY", ESTIMATED SELLING PRICE$ #OF BEDROOMS Area Construction #of AREA DESCRIPTION Occupancy Group(s) Additional Information In Square Feet Type Stories NEW BUILDING ADDITIONC�y+t# �,qy^^� { +-'q{('� may ? ( t �}^ ( 'I1{'+. 7 g' *p g+{ ViTIdli.- i�l .: i:.i)Y VJ A's <! T'.1 ��1 't_�f�U #:< 3L'.:♦�E�, `. � AREA DESCRIPTION Area Occupancy Group(s) Construction # of in Square Feet Type Stories Additional Information e ,X44:19,7-"•7,7x«.• e ,' ,bei.;f a'ot7 AtAfe TENANT AREA ONLY �t s, '+ e. Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application