04-102154 _ mit -
t
City of Federal Way Building - Multi Permit #:04 - 102154 - 00 - MF
Community Development Services Family
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: PANTHER LAKE APARTMENTS-UNIT 22-B
Project Address: 22 SW 341ST PL AptB Parcel Number: 132202 0690
Project Description: Repair sheet rock in small closet
Owner Applicant Contractor Lender
PANTHER LAKE APARTMENTS*P ESQUIVEL RESIDENTIAL SERVICI ESQUIVEL RESIDENTIAL SERVICI NONE
PANTHER LAKE APARTMENTS ESQUIVEL RESIDENTIAL SERVICI ESQUIRS003QC 11/05/04
33 S 342ND ST PO BOX 1064 ESQUIVEL RESIDENTIAL SERVICI
FEDERAL WAY WA 98003 LAKEBAY WA 98349 PO BOX 1064 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: _ _ 1_
Construction Type: _ 1
Occupancy Load: _
Floor Area(Sq.Ft.): J
Census Category 434-Residential alt/add-no, Mechanical No
Plumbing No
PERMIT EXPIRES November 28,2004.
Permit issued on June 1,2004
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 E
Owner or agent: / - Date:...-
CP// /_ G:
b
l
. itk
a THIS CARD IS TO EMAIN ON-SITE
CITY OF - ' ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102154-00-MF
Owner: ESQUIVEL RESIDENTIAL SERVICES
Address: 22 SW 341ST PL Apt B
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.
0 Footings/Setback(4110) ❑ 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) 0 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 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) 10 Final-Fire Department(4060) s ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works (4080) ❑ Final-Building (4050)
Approved Approved f�
By Date By tj Date 7-/3-e) y
AIL
cmof
Federal Way CEk - 10-2-- q-
COMMUIIY DEVELOPMENT SERVICES PERMITT SF MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-971jj N 0 1 20 n/APPLICATION 253-6614115•FAX 25366141 fTD
/ /
www.cituo frederalwau.mm
The ollowin. is r4,wired in ormation-an inco •tete a.•lication will not be acce.ted. Please •rint le.ibl (in ink)or .•.
PROPERTY INFORMATION
SITE ADDRESS z a • 5►,1Cf(S- PL . Q
y SUITE/UNIT# 2--a _E3 p
ASSESSOR'S TAX/PARCEL# - ��
— L____
— LOT SIZE(s� \
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) i4-AJ/ �4C?(L L- 't- e__. -PA - ,0ti-
(Anach separate page for lengthy legal description)
. PROJECT INFORMATION
TYPE OF PERMIT BBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work include/d� on this permit only
PROJECT NAME(Name of Business or Owner Last Name) ..•yJ. _c OJ( fl-PTS'y 2Z. -g
PEOPLE INFORMATION
PROPERTY
PRIMARY
OWNER ` \ ek� /\ (��� I PRIMARY PHONE }
MAILING ADDRESS I CITY,STATE,
ZIP
rC-�^-r �7--^ 11
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
k ,, �. ) (2s.I )8'i1 - 7790
(LING ADDRESS STAT ZIP w
V 1 P3 / 9 CELL
sPHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
C
Q I S o 3 q // l 5 /O'/
APPLICANT COMPANY NAME APPLICANT NAME
(tem OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP ( )
CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME
PRIMARY PHONE
E-MAIL ADDRESSc\Aa\\ , eScp Olv t— S
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
Pa. /C7le Lr 1--.AKe t3QY o3 A- `?n(; 9
A •PT;
c J DETAILED BUILDING INFORMATION -
EXISTING USE flP t ; : "j/y)P(G/ PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /z5
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS ,-,:
i •
___ 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 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 UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS
FANS HOODS(comm<rri i) W OODSTO V ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toile) 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 made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relian of the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. //% f/�� U
NAME/TITLE
:,,i�AL
!� DATE 4P//2 /
(Signatur (Title)
RELATIONSHIP PROJECT °Owner 0 Agent VContractor o Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application
04/08/2004 08:35 2538389305 PANTHER LAKE APTS PAGE 01
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4. DATE OF INCIDENT: , -0 DATE OF IIsi ,- ••.
ADDRESS: �.Z S Q .3 \ �P ... "
Nature of Incident/Scope Of bamage: - - .
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' ' • of value of damage is greater than 7S9.6 of assessed who. 'o - n, a site plan
r•• Biliffiing Posted. . E7 NOT POSTED
OCCUPANCY ❑ DANGEROUS BUILDING 0 O�T'HER •
•
Permits Required: ,
; ErgiILDING 13PLUMBING 13 MECHANICAL Eta.
Plans Required: O Yes Plat show: '
, i
I1 ,
'. Engineering Required.. D Yes IB -.
Specifically:
Demolition Complete: . 0 Yes 0 No Ba'N/A .
'• Pn°Inspection Required: 0 Yes 0 No ',: •.••` ••• '•
Permit Application Information Provided To Applicant • '• • •
t ': 0 Demolition Permit Application ;'
D Building Permit Application ,
O Submittal Checklist
O Electrical Permit Application ' • : .
• ' q ether •
•
/a3�- .... 64 , (253)661-41 .2
-Inspector Phone Number
**APPLICANT.' PLEASE BRING THIS FORM TO THE CITY WHENAPPLY7NG FOR PERMITS**