01-100007 r
r r
City of Federal Way Building - Multi Family Permit #:01 - 100007 - 00 -MI
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: WOOD TRAIL VILLAGE FIRE
Project Address: 1927 SW 322ND PL UNIT293 Parcel Number: 132103 9103
Project Description: FIRE REPAIR-Repair interior fire damage.
Owner Applicant Contractor Lender
WOOD TRAIL VILLAGE NONE NONE NONE
NONE NONE
Includes:
Census category: 434-Reside #1 #2 #3 r #4
Occupancy Group: R-1
Construction Type: Type V-One-HR
Occupancy Load:
Floor Area(Sq.Ft.): 0
Census Category 434-Residential alt/add-no, Mechanical No
Plumbing No
PERMIT EXPIRES July 1,2001,IF NO WORK IS STARTED.
Permit issued on January 2,2001
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.
Owner or agent: _ Air Date: //G 2/G/
SUBJECT TO FIELD INSPECTION.
•
= POST THIS CARD ON THE FRONT OF BUILDING
`
•
CITYOF
• '" _ BUIttING DIVISION '
VV M' INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 01-100007-00-MF
OWNER'S NAME: WOOD TRAIL VILLAGE
SITE ADDRESS: 1927 SW 322ND UNIT293
O FOOTINGS/SETBACKS () FOUNDATION WALL
� d.. t� ►:OT
OialarivilitttE7 OM AP VED '14111, riaiy
( ) DRAINAGE: Line ( ) Connection
vi „ v” .YDON :' - iii# D
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
: q�®9'r<`: � " t 4�5,["' CHS
.. ... - � r
f/kiO FRAMING/F1RESTOPPING l^ dd O/ G
W 4#1 .00 -kRtO4 Wok'
( ) INSULATION: Floors Walls /-'/ (0 "' C1 lC Attic
G
) WALLBOARD NAILING Z.- Z—c9( () SUSPENDED CEILING
I1 TEK OVE " ' TBE , a D PRIwI'O 7" 'INS ' NS LIl 1G LINI ' fi °
O ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
OVED-IOR O B
O BUILDING FINAL f0 l6/o/ 5
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FED
arrof C-
_ �°" ��'`N k` Co RUCTION PERMIT APPLICATIC
7001
"� ' IN APPLIG1ITION NUMBER: Q L - ,1 v .0 0 62 -81-.
APPLICATION NUMBER: _ - _ _ - _
�� APPLICATION NUMBER: _ _ - _ _ — -
**Th l wing is required information-Please print(in ink)or type**
+Ginfa OF FE[�EiiAL AiiP
Please ndit6131.A11 8 1;'Ttre Prevention Systems and Engineering permits may require a separate application.
99 ■ PROPERTY INFORMATION
SITE ADDRESS: /9` 7 54-1). 322 PL aiti- 2 93 ASSESSOR'S TAX/PARCEL#: / 3 2 / i 3 - /OL
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Z.07— 2 dF
/<<S'/ .qt f 'CJ '/7 , /i.�.oer 8-O/// I K6'E
•: PROTECT INFORMATION - .
TYPE OF PROJECT(This application): E BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
• 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): de 6-i/1'Jie f/u C-' ,if of/r4•C� T®
6vC tYA//T O/- A r4U1e [1,v/r- .er/tKT,H c ATS
PROJECT NAME:
PEOPLE INFORMATION ' - " - -
PROPERTY OWNER: NAME: DAYTIME PHONE:
5'Es`T/pec Ae ape-:e Tic=S (24-3 ) 874/ -8''x"3
- MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
. 32®Z 6, /i t' i1 6- 5A%-
CONTRACTOR: NAME: DAYTIME PHONE:
— . RX Y ,e°,eE4/rZ ( ) -
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
3202c, /f '4 X ,6 .sw- ( ) -
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - / o _ 0 FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: \/EXPIRATION DATE:
I /
APPLICANT: NAME: DAYTIME PHONE:
g 0 73 RE/cmf-4‘VT- (25 3 ) 1-5S -, q
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): EVENING PHONE:
2(3,7 56-J- 3(t) PZ_ fe®E.44c CJI1 58• 23 (25--3 ) 0S -/99.1
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT RCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: //TS EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 5.1.1Ie' PROPOSED VALUATION FOR IMPROVEMENTS: $ 7/ Y9/
SPRINKLERED BUILDING? 0 YES ONO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES
WATER SERVICE PROVIDER: A LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 04.AKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS ESTIMATED SEUIN CE: $ '
■ PRO3ECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
-BASEMENT
FIRST Sea 3acr
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
: �.:FIXTURES =
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) WOOOSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER.HEATER(S;
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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,an
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
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City
Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon the accurac
of the information supplied to the city as a part of this application.
NAME/TITLE fi� DATE: /% Z/0/
0 PROPERTY OWNER fC APPLICANT 0 CONTRACTOR
DRVOFFIcE IUSEIONIAri
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ONfING._ESIGI ATX6N1 � �`� � tiNG',S ELI. i L'Y�T
COiPIANESIGNATION BABA ,ANS '- ®•sa 3
ECTION - OWNSHIP RANGE _ ,41EVI bORESS EQUIREO fES 'm IVO,T-g
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-6614129