12-105183 • "'Building - Commercial
City of Federal Way //
Community&Econ.Dev.Services Permit tt. 1�-105183-00-CO
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BROOKLAKE VILLAGE BLDG C
Project Address: 1109 S 348TH ST Parcel Number: 202104 9042
Project Description: ALT-Removal of an existing entry canopy in preparation for a new canopy.
Owner Applicant Contractor Lender
BROOKLAKE VILLAGE REINHARD MANAGEMENT MIDTOWN BUILDERS REINHARD MANAGEMENT
33400 9TH AVE S SUITE 114 SERVICES INC MIDTOBI932RD(12/4/13) SERVICES INC
FEDERAL WAY WA 98003 33400 9TH AVE S SUITE 114 PO BOX 1996 33400 9TH AVE S SUITE 114
FEDERAL WAY WA 98003 AUBURN WA 98071 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/conversion
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 !!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, May 13, 2013
Permit Issued on Wednesday, November 14, 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
the City of Federal Way.
Owner or agent: Date: (til l i
A
cc° •
4:0
• THIS CARD IS TO MAIN ON-SITE r
CITY OF ��= `". Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-105183-00-CO Address: 1109 S 348TH ST
Project: BROOKLAKE VILLAGE FEDERAL WAY, WA 98003
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) El Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. .
0 Foundation Wall (4115) ❑ Drainage/Downspout(4040) iti Re-steel (4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
•
0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
. .
LI Shear Walls (4245) Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
•0 Interim Erosion Control (4370) ,94
Framing (4120)
Approved Prior to scheduling a Framing inspection, El
Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
dans
0 Insulation (4150) El 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
•
0 Final-Fire Department(4060) '❑ Final Erosion Control(4375) 1:1 F' al-Building(4050)
Approved Approved Approved
By Date By Date By Date ' v� i
, 77
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED � _ l O 5 1 E"
CITY OFOA'
PERMIT - —
FederalWa}JV 14 2012 SF MF 0 ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 2eF FEDERAL
i i
www.eituollederal
CDS
SITE ADDRESS SUITE/UNIT#
I 1 o c co 3 9 g4=`' fit.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5000 Z 0 Z ( 0 1- - i( C 42
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
X DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ` / _
(Tenant Name/Homeowner Last Name) gocC(C '�Jy_ v t LIGJ G� ( .LP G C
I n�vh 0 v Qi 04 e v-; S+- ,'l 6) SSivr
,,i t C a vt oi.
p
PROJECT DESCRIPTION J p
Detailed description of work to
be included on this permit only
NAME Q 1 ' PRIMARY PHONE /
PROPERTY OWNER g f )p Ie-lake. V 1 1'CL Ie- as 3 (v(,1 g t0 S/
MAILING ADDRESS `f "hum
�v
/� 4-v e. �D cul le I�} favhivtiecetre,lnha/-alovna e.+
CIir-eok-C- v� ati STATE
VV AZIP c1U oo 3 " `SRV
`(hrE � ` ,/� PHONE
NAME
1�1.161 (Tv011 Liu.I d.ers I (lc, , ,S---3 cl S/ - 51+(03
MAILING ADDRESS E-MAILCONTRACTOR p o box I _`C0 b
CITY Ig
__ SAZIP Q O o` Iaro tAL'T a J-/ o/ - 54 D
WA STATE CONTRACTOR'S LICENSE#
EXPIRATION D/ r�l TE FE RAL WAY
BUSINESSV I
LICENSE# gL
NAr. /0 PHONE
a )o VA-O - k/ i 1 la e- ,253--10/2013 V 6, i S 1rb
APPLICANT MAILING ADDRESS°3 t 0 O h 11 y _ �� 1 I )
CITY Ike rte,I V Vl STATE Pr ZIPZIP ^ U o o F ;3 �'tP� 0��o Q CD M
PROJECT CONTACT NAME C n PHONE
(The individual to receive and s Gt as ai P t;C ce r-1+- i a ,r
wvi l ( c_-
respond to all correspondence MAILING ADDRESS 1 E MAH
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME t/\„ r1 p 41,,...44,_ },/
- = „PrT v (t&e �J OWNER-FINANCED
Required value of$5,000 or more -
(RCW 19.27.095) MAILING ADDRESS,CITY.STATE.ZIPPHO
�3400 Cr''‘'- < So Oily F�1w�� 0 03 JC3--(�(0 t (0S-b
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: C>. -X . C �i DATE k _ -
PRINT NAME: \ \1� (� C-) \
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application