17-100187 i -
RI - —, ,
&------ I ' ..., Building - Multi Family
City of Federal Way ermit #:17-100187-00-MF
Community Development Dept.
33325 8th Ave S r'
Federal Way,WA 98003 I pection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BROOKDALE FED ' 1.S IVING APARTM TS
Project Address: 31002 14T 1l ' Parcel Number:082104 9088
Project Description: p-Rep t 1 sheetrock and 10 square feet of insulation due to water damage.
Own \ Applicant - ractor Lender
BROOKDALE SE LI • ANTHONY OR' ATE RESTORATION WA
37 W WASHINGT S ITE 23 TURRENTINE TERS LLC
RESTORATI 0 -11 QUORUM DR SUIT 300
MILWAUKE 53214 22342 68T. +`
11 FORT WORTH TX 7
0,/
WA 1 i kJ
C SUS C -Resi entia dd -no c nge in number of units
Include #1 2 #3 #4
Occupancy Class: 'f7
Construction Type•
Occupancy Lo dam•.
Floor Area(sq.ft.) 0.00 0.00 0.00
Additional Permit Information
Mechanical to be Included9 No Number of Stories 3
Is this an Online or O.T.C.application? Yes Permit for Building Shell Only9 No
Plumbing to be Included9 No
s� % ro '' lrt ifr ry ,r 1.w/ o � �T >._ �.r
FtxturesAssociated With / S Permit II„
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, 11 July,2017
Permit Issued on Thursday,January 12,2017
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
Was ington and t Ply of F ral Way.
-dAeOwner or age . / /%r"�� 'L Date: /1-7;2 "/,7
/0 ii
, DATE INSPECTOR AREA AND TYPE OF INSPECTION
)3 ). W : Loi est - _ • O1�'
THIS CARD IS TO REMAIN ON-SITE
orr of
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100187 00 Address: 31002 14TH AVE S
Project: BROOKDALE SENIOR LIVING FEDERAL WAY WA 98003-4712
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 Initial Erosion Control(4365) 0 Footings/Setback(4110) El Foundation Wall(4115)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
® Drainage/Downspout(4040) 0 Re-steel(4215) El Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
El 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
[E, Roof Sheathing(4220) ® Fire/Draft Stops(4095) ClInterim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date 2 7 ii 7 ByDate
Prior to scheduling a Framing inspection; IQ Framing(4120) ® Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 109.3.4
By Date By Date 1 17 7/i 7
Ell Gypsum Wallboard Nailing(4130) l6 Suspended Ceiling Grid(4265) 17 Final-S K F&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By (. ,._2; Date \ _ x,,; ., i ty By Date By Date
I,
® Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date By Date
El Rough Electrical D Final ElectricalD Right of Way
Approved Approved Approved
By Date By Date By Date
,.“44kh,_..„,
• PERMIT PPLIC�y�.A�yyT��ION
CITY OF itECEIVW
Federal Way
( _ to 0 ( e � _ Mr-- JAN 12 2017
PERMIT NUMBER— TARGET DATE CITY QF FEDIENAL vaght
abs
SITE ADDRESS SUITE/U T N
31(3°O Pf 1Y/n� co `U .cfc-r 6„3,m00 14"441
PROJECT VALVA ON ZONING ASSESSOR'S TAX PARCEL N ^
$ a3 00a> o Z /L.J1 'f - 4:: 1 6 ei
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT .r.490kC. a/� L Ce.-7- f'
`` le-.41 IGl r jv�nr%
PROJECT DESCRIPTION ,4,_., ...ie r- CgCt✓yIG,r, ,G j�(J1�-i-r0<lit avI,( /057 /—. v` ..t ,0 1
Detailed description of work to 1/'
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
MAILING ADDRESS `j� E-MAIL
CONTRACTOR 3</2I �jcl l�'M/ ✓i- pct/7 300
CITYST ZIP FAX
fork, 7 /37
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME /� PRIMARY PHONE
� ,/� /.,�� 741.11-,..., , ' 313— SIJ
APPLICANT MAILING ADDRESS/ E-MAIL
3(7-6.2/ ( c.c(7/,,il,L Di- s'Gr/ ?a_ate
CITY STATE ZIP FAX
NAME 77:44?/1(2/4
// �, j PRIMARY PHONE r
PROJECT CONTACT /�rt �(j ty 7;;r/�Q7Y��L/L �j _?/3-.? o
(The individual to receive and MAILING ADDRESS / E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I 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 authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental Iaws.
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,
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 a' .*cation.
E
SIGNATUR " � —:i__-
DATE /-A,2---//
PRINT NAME: /� __-
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Firma sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$—
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes ❑ No Yes F No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application