02-100499 • ,- r
City of e lopment Services Way
Community
Building - Multi Family Permit #:02 - 100499 - 00 - MF
ty DDeveel
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.0O
35.3050
Project Name: CAMPUS GROVE APARTMENTS /OC.—/4X. /1/-&.L
ft i&o �
Project Address: 1300 SW CAMPUS DR Unit52-3 Gary. tiu 0 Parcel Number: 182104 9025
Project Description: MF FIRE REPAIR-Fire damage repair work to existing apartment unit to replace approx.2,500 sq ft
of drywall and insulation due to fire damage to original configuration,subject to field inspection.
Owner Applicant Contractor Lender
Campus Grove LLC*LLOYD BORN NORDIC SERVICES INC. NORDIC SERVICES INC I NONE
12708 LEATHERWOOD LN NORDIC SERVICES INC. NORDISI180QA 1/1/04
BOW WA 98232 9618 MIDVALE AVE N 9618 MIDVALE AVE N
SEATTLE WA 98103 . SEATTLE WA 98103 I NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
11
Census Category 437-Commercial alt/add Mechanical No
Permit for Foundation Only No Plumbing No
Will Certificate of Occupancy be Issued9 No Zoning Designation RM 3600
PERMIT EXPIRES July 31,2002,IF NO WORK IS STARTED.
Permit issued on February 1,2002
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 Wa
Owner or agent: . (26c
L--- a
Date: . �
. .._-d 2..____
' • POITHIS CARD ON THE FRONT OF BUILD " ? • 1'
dr/Of
FOTZ BUI DING DIVISION
uv Ry INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-100499-00-MF
OWNER'S NAME: Campus Grove LLC *LLOYD BORN *
SITE ADDRESS: 1300 SW CAMPUS Unit52-3
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
. t DO NOT"POU Z C(JNCR E L THE ABOVE IS, PROYED11 "
( ) DRAINAGE: Line ( ) Connection
DSO N ._. _. SAP_ OVER . V _ tOti
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL 44/6 G p solo S. Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN j Ditch Cover
( ) FIRE/DRAFTSTOPS 2/247 Sf
" OR Q FRAlYIING NSP C ONS ,.' .
( ) FRAMING/FIRESTOPPING 2/142175
n 1 SI abr it OCKING =4 4
( ) INSULATION: Floors Walls 2- �,5=-J2 Attic tf' 2 S D Z G�-tJ
.' !o ° ` ! _moi®.
( ) WALLBOARD NAILING % a ( ) SUSPENDED CEILING
.w°.': 0 -
, ` '.. .,. ' O ', °T f:0
w S7 7*7„�,„ CEII [NG T.a ... t
. f f0. ,. -.
() ELECTRICAL FINAL_
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
-z n,ti�k m —
'. THE,ABOVE MIST E„ 'P YED PRI R TO BUILDI W. DEPARTMENT FINAL
( ) BUILDING FINAL S a
0 OT O T. T. iIS BUILD 't7Stk BU LDI G FIN mm.IS PRO D µ
REC
VED 11/
°' - CONSTRUC 1 ION PERMIT APPLICATION
-jv Ry _ FEB 0 12002 APPLICATION NUMBER: D 2- - la d cj<5.V.,,p-0 ,
APPLICATION NUMBER: _ _ - _ _ _
CITY OF FEDERAL WAY gppLICATIONNUMBER: _ _ _ _
BUILDING DEPT. _ _ _ _ - _ _
,\/7?". **The following is required information-Please print(in ink)or type**
143 �
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: /36 d Ci aipC*c tib At.(.5 0)"L1 ASSESSOR'S TAX/PARCEL#: / g A I Q _1 -.9.- --t-
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): fJ' 2.,r—
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ErBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): R e ow_ d n e pi,a G,� a 6-'0 d i o, L n y Rio,ii
A -13 /•ySczakio,✓ v 4..e 7o Fr -e/ S •4a ot-' L aw,cel. -to
OiZ€ f t-,.w-
PROJECT NAME: ---21eif- GI 6-ii...../2.4c ' 'Y'T3
_________________
- , _ . ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
6o4N, L4 c, 1) (2.‘3) 4G/ - /94(0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/3 o o C a, ,,,6.44. ,UA_ i----'ad u.a.Y w a, _
CONTRACTOR: NAME:
DAYTIME PHONE:
Ala K/JIG Se.t,.i,c-�' ..Silo ( d,4) 63Z - XS70
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
q&8 n1 i d va/-.c, ilv-e.. /v. 5 e 6t. ?5 143 ( g ,.�—c_.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CI - I O L 8Q Z - dd -4/g4-) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(ropy of card required),�irea) At a . _6z s Z 1. 5 ) C0 6 I Ii 1° 91 .//
APPLICANT: NAME: •
DAYTIME PHONE:
49,1.0i0 Sez4ic- -C .L",-7C , ( ) x7- 12. i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
5.
I RELATIONSHIPS: ( )
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
�� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER ❑ APPLICANT Lel CONTRACTOR
■; DETAILED BUILDING INFORMATION
EXISTING USE: C 11-ti% EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ B_
PROPOSED USE: O D / - 1 OPOSED VALUATION FOR IMPROVEMENT •
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ PRIVATE(SEPTIC)
L
t
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. - ' ,' • 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatic upplied to the city as a part of this application.
NAME/TITLE: ..,64/6._ DATE: oZ — I - a -4-'-
❑ PROPERTY OWNER Cl APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
O NEWS- t_. .O,ADDITION ❑=ALTERATION yRREPAIR' =❑ TENANT IMPROVEMENT
CENSUS CODE LOT SIZE
ZONING DESIGNATION ,, " "' BUILDING SHELL ONLY? ❑YES ❑ NO
COMP i?LAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
IlSECTIQN TOWNSHIP RANGE - NEW ADDRESS REQUIRED? ❑,YES,. ❑ NO
.PLATTED LOT?1`;- ❑YES.. < NO CHANGE OF;USE? ❑YES " ONO
i
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•-FAX:253-661-4129
i