12-102882 • *Building - Commercial
City of FeWay Permit #: 12-102882-00-CO
Community&Econ.n.D ev.Services
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 ecQ
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Project Name: LIFE CARE CENTER
Project Address: 1045 S 308TH ST Parcel Number: 082104 9042
Project Description: REP-Tear off existing composition roofing;over existing sheathing install composition
roofing system.
Owner Applicant Contractor Lender
THOMAS DE ORO THOMAS DE ORO DAN LUCE CONSTRUCTION&
LIFE CARE CENTER OF FEDERAL LIFE CARE CENTER OF FEDERAL ROOFING
WAY WAY DANLULC902L1(6/21/14)
306 S 308TH ST 306 S 308TH ST 306 SW 12TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 COLLEGE PLACE WA 99324
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit lE
PERMIT EXPIRES Wednesday, December 19, 2012
Permit Issued on Friday, June 22, 2012
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 th oCity of Federal Way.
Owner or agent: r� �7v� Date: 102./ it
PipuE r I
0 THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-102882-00-CO Address: 1045 S 308TH ST
Project: THOMAS DE ORO FEDERAL WAY, WA 98003-4706
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 SWM Precon Site Mtg(4400) Ei Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) ❑ Drainage/Downspout(4040) El Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
Shear Walls(4245) Roof Sheathing(4220) 0 Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date 13. ---cc Date 7�i 0.1 Z By Date .
❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; El
Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
O Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) 0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By / ---61- Date 3-07,5"--,e3
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF 4CEIVED t'ERMIT S F` ,`
CO ME PL DE EN FP
Federal
COMMUNITY DEVELOPMENT S.$012 2012 APPLICATION
253-835-2607•FAX 253-83
IVIPIP citligiLlerniwaHCOfie
CITY OF FEDERAL.WAY
CDS
SITE ADDRESS SUITE/UNIT ti
r014 C SOlk, 340 b - Sfi reaeroi tU y win 5(boos
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ / 5Q 0 O 0
ii.----------.. D 0/— l U (/ - ? e c(
TYPE OF PERMIT UILDING 0 PLUMBING ❑ MECHANICAL
lll❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT s ` ea �"'/ , 1
(Tenant Name/Homeowner Last Name) `�.e_`^��1� Il"/v,'vJ
PROJECT DESCRIPTION �"
Detailed description of work to L.I( sot. fefikrr t_Vcre-nt fry t.j- -- v)e—' ,./-c0F1n`)
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1 c,( way _ y -Z Z
�� �2t oar V 3 6
MAILING ADDRESS 1� E-MAIL-
P°215-- 5007!1 3oc ''� $'1- kin de ow&/6 , tor-
CITY , STATE ZIP
06.1r^( Wal w 4 7$003
NAME y�-.J y� QQ �y/� �y�p /��/1y� _/�- -.
`Veli Line- Cons\ VV fi ��iJ�i l -0( PHONE -7/7-592-
,
7/7-592-
MAILING ADDRESS E-MAIL
CONTRACTOR 306 SW i2j'1` 5*"
CITY /_
Cot - Plc�e� STATE ZIP 193`a9 FAX
..... WA STD/. \N ��.LL t_.q 1.5 IQ--
i Le/7PIWN D//El FED ®AY BUSINESS LIe [2_�
NAME _ !•_. i c)c)y 8`
L N e c u i\J O\l'e C 01 PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME ...ill -m QNE
(The individual to receive and O 1 Gig- O PHONE
73" q 4 6 —2-233
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
1RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 laws.
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 application.
SIGNATURE: - t DATE C) r �_
PRINT NAME: .11 O Al PAS,
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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 ICommerciaq
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
•
Indicate how many of each .e of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Com.• LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utiity) WATER HEATERS(Ekctric)'
HOSE BIBBS SUMPS WASHING MACHINES4;;e = p
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE Ila Square Feet EXISTING FIRE SP• ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Y .
n No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING ��SED TOTAL FOR OFFICE USE
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s.:iri c..f mob - .. .
FIRST FLOOR(or Mobile Home)
Lai �a a r — — — ---- — —'—
COVERED ENTRY ,_-,_
GARAGE ❑ CARPORT 0
EXISTING PROPOSED
Area Totals ®,
ESTIMATED SELLING PRIC $ #OF BEDROOMS
Area Construction
AREA DESCRI ON Occupancy Group(s) FRI Additional Information
in S uare Feet
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ADDITION
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AREA DESCRIPTION Area Occupancy Group(sl Construction #of Additional Information
in uare Feet Stories
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TENANT AREA ONLY
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application