00-105969City Federal Amay
Commununity Developmeennt Services
Applicant
Building - Multi Family Permit #: 00 -105969 - 00 - MF
33530 1st Way S
Federal Way, WA 98003-6210
SPA FAMILY LIMTED PARTNER
Inspection request line: 253.661.4140
Ph: Z53.661.4000 Fax: 253.661.4129
INSURANCE CLAIM
(3:30pm cut-off for next day inspections)
31500 1ST AVE S
BARLOCIO84NJ 7/1/01
Project Name: GREYSTONE APARTMENTS
Project Address: 31010 18Th AVE S Parcel Number: 785360 0075
Project Description: REPAIR - Demolish to framing and repair fire damage to interior of Unit 27 in accordance with UBC
requirements and subject to inspection and field corrections.
Owner
Applicant
Contractor
Lender
SPA FAMILY LIMTED PARTNER
GREYSTONE APARTMENTS
BAR LOW CONSTRUCTION INC.
INSURANCE CLAIM
31010 18TH AVE S
31500 1ST AVE S
BARLOCIO84NJ 7/1/01
FEDERAL WAY WA
FEDERAL WAY WA 98003
508 W MAIN ST
98003-4949
AUBURN WA 98001
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
R-3
Construction Type:
Type V - One -HR
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 434 - Residential alt/add - no - Mechanical................................................. No
Plumbing................................................. No
PERMIT EXPIRES June 10, 2001, IF NO WORK IS STARTED.
Permit issued on December 12, 2000
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: Date: 2 Z rd
POS S CARD ON THE FRONT OF BUILD
Ciff orj� Ex4u:R— BUILD
DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-6614140
Request must be received by 3:30 PM for next day Inspection
PERMIT #: 00 -105969 -00 -MY
OWNER'S NAME: SPA FAMELY LIMED PARTNER
SITE ADDRESS: 3101018TH S
FOOTINGS/SETBACKS FOUNDATION WALL
,DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
DRAINAGE: Line Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED,
( ) UNDERFLOOR.
( ) ROUGH PLUMBING: DWV.
Waterpiping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
FIRE/DRAFTSTOPS
MA
FRAMING/FIRESTOPPING.
Z -
INSULATION: Floors
Roof
Ditch Cover
Floor
1 .13 OR,% w;i Z,012 D1114 R141 Mg .1 1 1939 V -, MM i
Walls I / /.1 / V I M 61 Attic 10( 111w -if
fz 't
.OVkD P I ROCK
WALLBOARD NAILING lZtp
SUSPENDED CEILING
V
7", 'BE APPROVED PRIOR TOT PING OR INSTALLING CEILING TILE
ELECTRICAL FINAL
( ) PLANNING
( ) PUBLIC WORKS
FIRE FIN
L
( ) BUILDD
77,1
'I)O-NOT()CCUPYTHIS WELDING UNTIL RUILDINGFINAL IS APPROVED
�.� DECapp® CONSTRAON PERMIT APPLICATION
�1-- PLICATION NUMBER:
VNI (;I BUIETAY
ILDNG DPAPPLICATION
NUMBER:
APPLICATION NUMBER: - -
**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.
0 PROPERTY INFORMATION
SITE ADDRESS: 1 n I 1 f�� .J ASSESSOR'S TAX/PARCEL #::Z 3 id O - 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): [TSUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
DAYTIME PHONE:
MAILING ADDRESS ADD CIiY, STATE, ZIP):
NAME:
DAYTIME PHONE:
(259-I&M -y e -L
MAILING ADDRESS (STREET ADDRESS; CITY, FATE, ZIP):
EVENING PHONE:
r4(\tA('Nj fJab
Qg3 110A
wM1
OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- -
- - - -
- - -
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
APPLICANT:
czm) -2 s�s
MAILING ADDRESS (STREET ADDRESS; CITY. STATE, ZIP): EVENING PHONE:
O S � UA% % ( t( ) JI
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT BOTHER ( DESCRIBE). (
,�,_,
��-- E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0916;PLICANT ❑ CONTRACTOR
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
�/� �y
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: /n
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
w
**NEW RESIDENTIAL CONSTRUCTIO LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
STI
PROPOSED . Fr.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
DISCLATMFR/STGNATIIRF RIC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 (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 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 city s a of this application.
NAME/TITLE: DATE: W
❑ PROPERTY OWNER tJ APPLI ❑ CONTRACTOR
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COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253{61-4000 • FAX. 2S3-661-4129