16-102202City of Federal Way
SITE
Community & Econ. Dev. Services
Lender
33325 8th Ave S
INTERSTATE RESTORATION WA
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
LLC
Project Name: FOUNDATION HOUSE
Project Address: 32290 1ST AVE S
Building - Multi Family
Permit #: 16 -102202 -00 -MF
Inspection Request Line: (253) 8354050
Parcel Number: 172104 9039
Project Description: REP - Unit 324, replace (2) layers of drywall on a listed assembly. Unit 301, replace existing
R25 insulation with R30 insulation and replace (2) layers of drywall on a listed assembly.
Owner
SENIOR LIVING BROOKDALE
ADDIlica al
ANTHONY TURRENTINE
Contractor
INTERSTATE RESTORATION WA
Lender
6737 W WASH ST SUITE 2300
INTERSTATE RESTORATION WA
LLC
MILWAUKEE WI
LLC
INTERRW905BH (1/12/18)
53214
22342 68TH AVE S
3401 QUORUM DR SUITE 300
KENT WA 98032
FORT WORTH TX 76137
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 01 0
Additional Permit -Information
Mechanical to be Included?...................................No
Permit for Building Shell Only? .............................No
Proposed Structure Valuation................................6280
No Fixtures Asso
Number of Stories.................................................3
Plumbing to be Included?......................................No
New / Additional Sq. Feet - Total .......................... 0
1 This Permit 11
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 5, 2016
Permit Issued on Monday, May 9, 2016
1 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.
l
Owner or agent: ��'E" (�5, pate: 5 1 l
a
f
e City of Federal Way
Community & Econ. Dev. Services
,-�
33325 8th Ave S
LE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FOUNDATION HOUSE
x
Building - Multi Family
Permit #: 16 -102202 -00 -MF
Inspection Request Line: (253) 835-3050
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: REP - Unit 324, replace (2) layers of drywall on a listed assembly. Unit 301, replace existing
R25 insulation with R30 insulation and replace (2) layers of drywall on a listed assembly.
Owner
ARlicant
Contractor
Lender
SENIOR LIVING BROOKDALE
ANTHONY TURRENTINE
INTERSTATE RESTORATION WA
6737 W WASH ST SUITE 2300
INTERSTATE RESTORATION WA
LLC
MILWAUKEE WI
LLC
INTERRW905BH (1/12/18)
53214
22342 68TH AVE S
3401 QUORUM DR SUITE 300
KENT WA 98032
FORT WORTH TX 76137
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . ft. 0 0 0 0
Additional Permit Information
Mechanical to be Included?....................................No Number of Stories ................................................. 3
Permit for Building Shell Only? .............................No Plumbing to be Included? ...................................... No
Proposed Structure Valuation ................................ 6280 New / Additional Sq. Feet - Total.......................... 0
No Fixtures Associated With This Permit 11
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 5, 2016
Permit Issued on Monday, May 9, 2016
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. j
Owner or agent: LeA—)k'yfJp (Qd LC � LIC'Me Qjd rt - ss Date: G I 1 1 0
City of Federal Way "
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 ILE
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BROOKDALE SENIOR LIVING
Project Address:1ST AVE S 3 2?li b
Building - Multi Family
Permit #: 16 -102202 -00 -MF
Inspection Request Line: (253) 835-3050
Parcel Number: 172104 9039
Project Description: REP - Unit 324, replace (2) layers of drywall on a listed assembly. Unit 301, replace existing
R25 insulation with R30 insulation and (2) layers of drywall on a listed assembly.
Owner
ARgl'tcan
Contractor
Lender
SENIOR LIVING BROOKDALE
ANTHONY TURRENTINE
INTERSTATE RESTORATION WA
6737 W WASH ST SUITE 2300
INTERSTATE RESTORATION WA
LLC
MILWAUKEE WI
LLC
INTERRW905BH (1/12/18)
53214
22342 68TH AVE S
3401 QUORUM DR SUITE 300
KENT WA 98032
FORT WORTH TX 76137
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 0
Additional Permit Information
Mechanical to be Included?...................................No
Permit for Building Shell Only? .............................No
Proposed Structure Valuation................................6280
Number of Stories.................................................3
Plumbing to be Included?.......................................No
New / Additional Sq. Feet - Total .......................... 0
No Fixtures Associated With This Permit R
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 5, 2016
Permit Issued on Monday, May 9, 2016
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 acco5ance with the laws, rules and regulations of the State of Washington
,,and th Feral Way.
Owner or
Date: S ��-/h
CITY of
Federal Way
PERMIT #:
THIS C -ARD IS TO REMAIN ON-SITE ,
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -102202 -00 -MF Address: 32000 1 STAVE S
Project: SENIOR LIVING BROOKDALE FEDERAL WAY, WA 98003-5708
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.
❑
Initial Erosion Control (4365)
❑
Footings/Setback (4110)
Final Electrical
Approved
Foundation Wall (4115)
To be done prior to breaking ground
By
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date 1 Z
Drainage/Downspout (4040)
-Re -steel (4215)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved to backfill
By
Approved to place concrete or grout
Approved to place concrete
By
Date
By
Date
By
Date
0
Underfloor Framing (4285)
E]
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)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Framing (4120)
Insulation (4150)
[Electrical, Plumbing &Mechanical Rough -in andApproved
to insulate
Approved to install wallboard
ire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Dat
B
Date
E:]
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Final - S K F & R (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By
Date
By
Date
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date 1 Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF � RECEIVEDD PERM' APPLICATION
Federal Way MAY o9 2016
t CITY OF FEDERAL
F FEEDERAL WAY
PERMIT NUMBER 1Y _ I v Ci `� O 2 _ 114 TARGET DATE 1 ��
SITE ADDRESS
SUIITT�E/UNIT N
1
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/P CEL/
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/ �% y � � kooa .(,�
PROJECT DESCRIPTION
Detailed description of work to
/fin
l wn t e,./
►.l � ►M -e c.i-I c �
be included on this permit only
NAME
PRIMARY PHONE
25,', 13-ia2�E-;
PROPERTY OWNER
MAILING ADDRESS /
E-MAIL
CIT,C
/17e
STATE
ZIP
r ('_
Y� XV
/1
NAME
PHONE13
MAILING ADDRESS
o262Jy,;7, 6
E-MAIL
CONTRACTOR
CITY
3'fATE`W
!%v �/V►
9 9
FAX
Zh
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING DESS
6(6�, aa&.
E-MAIL
Rfte�R b rD
i On.
CITY
/W/�/►b
ZIP O �
FAX
J `Q o �
PROJECT CONTACT
NAME
PRIMARY PHONE
MAILING ADDRES
E-MAIL RT /'/ t 0* %
(The individual to receive and
respond to all correspondence
2 J4/
CITY
S,TA` E�
!�V//�1
ZIP^
fy
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 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 authorised by the issuance of a permit. I understand that the
issI ance of his permit does not remove the owner's responsibility for compliance with local, state,
or federal laws regulating
construction r environmental laws.
I further ag to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation defense of such clain), hick ay be m any pe on, including the undersigned, and filed against the city,
but only where such c ses out o ci , i din its officers and employees, upon the accuracy of the
information supplied to the city as a
'
��
SIGNA
DATE
l
PRINT NAME:
Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
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