12-104970t'
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
*uilding - Single Family
Permit #: 12 -104970 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: CHELSEA COURT CONDOMINIUMS BLDG 6 UNIT 304
Project Address: 25 317TH ST Unit 304 Parcel Number: 154180 0400
31-1 �• 5`f"
Project Description: REP -j inspection of fire damage. **NO construction work approved under this permit**
Owner
ARRIICant
Contractor
Lender
KRISTA J LIPSETT
SUSTAINABLE NORTHWEST
SUSTAINABLE NORTHWEST
2524 317TH ST UNIT 304
CONSTRUCTION LLC
CONSTRUCTION LLC
FEDERAL WAY WA 98003
2524 S 317TH ST UNIT 304
SUSTANC886D2 (3/22/14)
FEDERAL WAY WA 98003
2524 S 317TH ST UNIT 304
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . ft. 0 0 1 0 0
Additional Permit Information.
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, April 29, 2013
Permit Issued on Wednesday, October 31, 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 the City of Federal Way.
Owner or agent: Az -- Li6w�' Date: O 3 0)
• THIS CAIS TO MAIN ON-SITE
CITY OF RD Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104970 -00 -SF Address: 2503 S 317TH ST Unit 304
Project: KRISTA J LIPSETT FEDERAL WAY, WA 98003-5016
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.
Final - Building (4050)
Approved
By �i l Date l\ 1 b I
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY Of ..- 10 PERMIT
Federal '+ CEIVED
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607• FAX 25'_8' 506D5�' 1 9012
u�;.r.u_.ritro Ferier'n?uxzu.r , l• `
CITY OF FEDERAL WAY
-12 IC-1-!Hzo
MF CO ME PL DE EN FP
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, 7
SITE ADDRESS CDSSUITE/UNIT
#
d 5a q 5. 3 7% 5' -
30
PROJECT VALUATION
ZONING
ASSESSOR'S 5- + -L'S PARCEL # 8- _ C) 4 o C)
TYPEOF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FF►IRRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
C'�`� C � I-
v
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
(z - r0i I ( S —Cu\l
NAME j �{—
KC-15ta
PRIMARY PHONE
PROPERTY OWNER
LSI^ s'- i
MAILING ADDRESS
2 5 y ; 30
E-MAIL
s
CITY ` 4)
`1l
STATEAZIP
.
NAME SNS `,lA;tll�t a up(` �(,J
PHONE
MAILING ADDRESSE-MAIL
$ 2 � lAnt 30
,
5Nw(-On5fro c!/.
,on
CONTRACTOR
CITY
Fe4W a13
STATE
ZIP
9 oc')
FAX
WA STATE CONTRACTOR'S LI NSE #
SUS
EXPIRATION DATE
03
FEDERAL WAY BUSINESS LICENSE #
LA AIC 8$b
o
NAME/-��
on
-3
PHONE
` 3 8 a 3
3
MAILING ADDRESS.5 � S fi
E-MAIL
APPLICANT
CITY STA E ZIP
FAX
PROJECT CONTACTNAME
�� an MIQ� ��
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADORES z
7��
E-MAIL
concerning this application)
� S of
CITY�N
qTE
.71V
ZIP �� D
FAX
-
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 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. 1 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 apart of this application.
SIGNATURE: DATE / v 3 l Ala
PRINT NAME:Cd1�;;n
Bulletin #100 — January 1, 2011 Page] of 3 k:\HandoutsTermit Application
Mal
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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 (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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 (Hand 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�rf}`A%)i2
CRITICAL AREAS ON PROPERTY?
EXISTING/PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Square Feet)
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application