05-104153 r • 0 4
City of Federal Way
Community Development Services Building - Multi Family Permit #: 05 - 104153 - 00 - MF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609Inspection request line: (253) 835-3050
Project Name: CAMPUS GREEN ` .B EC , 6
Project Address: 512 S 321ST ST UnitA Parcel Number: 132150 0290
Project Description: Remove roofing down to sheathing and install new 30 year comp roof.
Owner Applicant Contractor Lender
PROTOCOL PROPERTIES NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC NONE
1703 S 324TH ST SUITE C PO BOX 1697 NORTHRS088DW 10/14/05
FEDERAL WAY WA 98003 KENT WA 98035 PO BOX 1697
KENT WA 98035 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 r- #4
L
Occupancy Group: R-1
Construction Type: __ Type V-B
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 555-Non-structural roofing p Mechanical No
Plumbing No
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 1)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable
ab
PERMIT EXPIRES February 13,2006.
if
Permit issued on August 17,2005AI hereby certify that the above information is correct and that the construction on the above described propel and !'
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and ` •�a
the City of Federal Way.
Owner or agent: Date: (5 /17 C 5
6, &oav/a3s
DATE INSPECTOR AREA AND TYPE OF INSPECTION
_ 2 f _0S— 1,0 d-,$74 4.de &i Ivo
•
4411/4. THIS CARD IS TO I2MAIN ON-SITE
CITY OF
' .,a.. *ornmunity Developmflfit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104153-00-MF
Owner: PROTOCOL PROPERTIES
Address: 512 S 321ST ST Unit A
FEDERAL WAY, WA 98003
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) 0 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 i inspection;Electrical,Plumbing&Mechanical
gi Rough-in and Fire/Draft Stop inspections must be
By ... W Date e - g 1.0�— By Date signed-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 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) ❑ Final-Building(4050)
Approved Approved
By Date By Date
1421
CITY OF 6`, � r1
Federal Way (�11G I 2005 PERMITS - f O 4 3
COMMUNITY DEVELOPMENT SERVICEsh SF MF CO ME EL PL DE EN FP
333252533D835 2607•FAX 253-83b2BOX t9T" OC V'Ivr
{ �,�oPPLI CATI®N Tu
wmw.ciWol/ederalvau.cwn B
r21The ollowin• is re.wired in ormation-an incom•lete a•.lication will not be acce•ted. Please •tint le.ibl (in ink)or t ••.
b i " • PROPERTY INFORMATION
SITE ADDRESS - S
. _f 1 ( 5 r. /� St, 6/11 ct. i, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 3 Z ( YC- 0 � '� "
f ri:.
E(4)4-3LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) "'—>V 3� Le
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 1J BUILDING LI PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
�� r
G:r. 0-1-4- K..rid -1-i�►< rt de_c_ K o,t,d_ vt7-1-d ( ( we ,/
`, y,;
r ' • 0
PROJECT FLOOR AREAS
N...-,, AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST --- -
/
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) J11111111 `�
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF
TOTAL SF
NUMBER OF FLOORS
"NEW HOMES 0 '" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
f
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITST`"'--.,,,_ EVAPORATIVE COOLERS GAS LOGS
BBQS -FAN,S^ REFRIG.SYSTEMS
HO•. ")commerma) WOODSTOVES
BOILERS FIREPLAC GES
MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLEIJ
PLUMBING
BATHTUBS(or Tub/Showercomb.) %' ERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS' RAINWATER SYST +
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom 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 made 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 city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. A f
NAME/TITLE C c„,-,,,e',......- PCC t'f Cii A Iti(n e✓" DATE Z 16 /C
S -
Signature) 1
RELATIONSHIP TO PROJECT 0 Owner 0 Agent !' Contractor o Architect o Other
FOR OFFICE USE ONLY I
9 NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES u NO BASIC PLAN?
o YES vNO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?
o YES o NO
PLATTED LOT? o YES REQUIRED? o YES o NO NO DEMO PERMIT _
Bulletin#100-January 7.2005 Page 2 of 4
k\Handouts\Permit Application