02-100199 i •
City of tyDeveloelo Development Services
Federal Way
Community DBuilding - Multi Family Permit #:02 - 100199 - 00 - MF
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: FOREST COVE APARTMENTS
Project Address: 30928 17TH AVE SW Parcel Number: 122103 9006
Project Description: REROOF-Tear off 1 layer and install 15 lb.felt,cover with 25-year random design GAF shingles.
Replace 1/2" CDX plywood,as needed.
Owner Applicant Contractor Lender
Forest Cove-388 Llc*Forest Cove-388 INTERSTATE ROOFING INC INTERSTATE ROOFING INC NONE
1703 SW 309TH ST 15065 SW 74TH AVE INTERRIO77KK 10/18/03
FEDERAL WAY WA 98023-4389 PORTLAND OR 97224 15065 SW 74TH AVE
PORTLAND OR 97224 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 555-Non-structural roofing p Mechanical No
Plumbing No Zoning Designation RM 1800
PERMIT EXPIRES July 15,2002,IF NO WORK IS STARTED.
Permit issued on January 16,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the - will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal >
Owner or agent: Date: / Ot
PO7'HIS CARD ON THE FRONT OF BUIL
1
• •
T°F " ' 1\ CONSTRUCTION PERMIT APPLICATIC
ErtFM—
v �� 2a f�
APPL.ICATI N Numy• *F
APPLICATION NUMBER:
.t i uj Dfa - tNG DEPT. APPLICATION:NUM R: _ _ ' _ _ -
**The following is required information–Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: ASSESSOR'S TAX/PARCEL fit: IZ 2-1423— -
3oq 2227 i`"i A�E;,SLT — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
N PROJECT INFORMATION
TYPE OF PROJECT(This application): IX BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Reroof – Tear off 1 layer and install
15 lb. felt, cover with 25 year random design GAF shingles. Replace
p ywoo. as nee.e• .
PROJECT NAME: Forest Cove Apartments
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
CTI. Property Management, INc (253 )856-1630
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
24620 Russel Rd Kent, Wa 98032
CONTRACTOR: NAME: D
Interstate Roofing, INc (TOE 7°) 84-5611
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): - EVENING PHONE
15065 SW 74th Ave Portland, Oregon 97224 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER-
- - )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) INTERRIO 7 7KK 10 /18 /03
APPLICANT' NAME: DAYTIME PHONE:
Interstate Roofing, Inc. ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
See above ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
X
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT N CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ C),
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
•
• i
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
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) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (
COMPRESSOR(S) FURNACE(S)
DUCT(S) - GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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,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(induding 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 ci .s a part of this application.
NAME/TITLE: A _ _ DATE: t` / /i r:", <'.
o PROPERTY OWNE ❑APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES o NO
COMP PLAN DESIGNATION _BASIC PLAN? o YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0 NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? o YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718 •253-661-4000•FAX:253-661-4129