02-101096-'4
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0 0
Building - Multi Family Permit #: 02 -101096 - 00 - MF
Project Name: HEATHERWOOD APARTMENTS
Project Address: 27312 23RD PL S
Inspection request line: 253.835.3050
Project Description: RES REP - Reroof, com to comp w/ new sheething. Building 05.
Parcel Number: 720480 0004
Owner
Applicant
Contractor
Lender
PACIFIC GULF PROPERTIES I
ROOFCORP OF WASHINGTON
ROOFCORP OF WASHINGTON
NONE
27314 24TH PL S
3425 S 146TH ST
FEDERAL WAY WA
SEATTLE WA 98168
3425 S 146TH ST
98003-8265
SEATTLE WA 98168
NONE
Includes:
Census category: 434 - Reside #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 434 - Residential alt/add - no , Mechanical................................................. No
Plumbing................................................. No
PERMIT EXPIRES September 14, 2002, IF NO WORK IS STARTED.
Permit issued on March 18, 2002
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:
POJVS CARD ON THE FRONT OF BUILD G
®�� B DING DIVISION
uv FIY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -101096 -00 -MF
OWNER'S NAME: PACIFIC GULF PROPERTIES I
SITE ADDRESS:
Z�312 Z3rd P1.5
() FOOTINGS/SETBACKS () FOUNDATION WALL
'D() Nt�T YOURCONCRT Ni1I,'i'H� A�$(�FTSA'P�IUED` y
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
() ROUGH
( ) SHEATHING.
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIREMRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) Connection 01
Water piping
Roof
Walls
Ditch Cover
Attic
() WALLBOARD NAILING ( ) SUSPENDED CEILING
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
( ) BUILDING FINAL
y
G CONSTRU ON PERMIT APPLICATION
n,�L PPLICATION NUMBER:
PPLICATION NUMBER: - _ —
PPUCATION NUMBER:
t• �\� **The following is requirdd information – Please print (Ith ink) or type** .
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 2�S12 23r 1L_ S ASSESSOR'S TAX/PARCEL #: 2 O 8 - O O0 4•
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
MUL.-TiFAM1LN( I�UIL_DIAJC�
'� .. '' _ :', i`.1•;: PitancrINFORNATION _
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 'I���:?'IiQ 4e1c )S'C'E n�) cc-^.,PoS* 'i0y\ 5� l`A!Aes
G>v�Ct L; A(� f–�a•+�wJt..1i fYo+ Tsai. a.,.� 1.nS .�1 V"Q -Ai Soni 4�5
la�c2r , is i55 Ck'^6 VQ.X- : co!-nRosIkjo— 5\A-jvn!.US. UL cRe-rarer- c\asS
PROJECT NAME:
<.PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
H GA7\" "E SL\N 00 D A'A9-T lMEk}-t S LL. C ( )
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
1 fo L} SAN l E a:.0 A,vE , SA^f D *I cc., , 0 , CA , q 2 i t O •-- 1160
CONTRACTOR:
APPLICANT:
CONTACT PERSON
NAME:
jZaOF C.dsz S' pF W�s�i �Ncz �
FOR
DAYTIME PHONE:
(2��) 43c�
-qgq t
MAIIING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
i
3425 S 146*^ S-�. SEr�,7- L -F- WA- g8i(06
( )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
Z_ O_ - O_z] 101 8_6 _ZO_0 -16L
(ZOb )43a
Agg5 �
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) IZ V 0 F C W 1 0 O -� U 1
O "t' / �O
[�
/ zo (: 7 -
NAME:
NAME:
DAYTIME PHONE:
gcLcL
CITY, STATE, ZIP):
MAILING ADDRESS (STREET ADDRESS;t�
PHONE:
i
.W0.
34Z•7 ` S 14(0-V5"�. Sc=/�-[��LL (16L68
/EVENING
( )
- I
RELATIONSHIP TO PROJECT: S/--V-e'Ty
FAX NUMBER:
❑ ARCHITECT ❑ TENANT x OTHER( DESCRIBE): GDO LDIKJA�-ZOil,
(270 43'k
-QC1gC5 i
EMAIL ADDRESS:
j
THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
ec:NE 1 @ -
C'0dJ?•
f 1 `,-■ DETAILED BUILDING INFORMATION '
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: S 61 52 -
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
nag
4
**ANEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SO. FT.
PROPOSED SO. FT.
TOTAL
•BASEMENT•
LOT SIZE: =-' -
..
BUILDIIHG 'SHELL ONLY? OYES ❑ NO
FIRST
BASIC PLAN? F-1 YES C1 NO
.. _:.
SECTION , _ TORANGE
NEW ADDRESS REQUIRED? ❑YES NO
SECOND
CHANGE OF USE? C1 YES ❑ NO
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL'
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLETS)
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: C]ELECTRIC C1GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
5TSC-LATMER/SIGNATURE BLOC
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 Cary 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 as a part of this application. l
NAME/TITLE:
SAMUG--k. .301A /?Zo UUC'TIOU`J MA*1AC E(Z DATE: o�! 1-2 1 O�Z
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
.FOR OFFICE .USE ONLY:
'❑_NEW❑'ADDITION ❑ALTERATION
=
:❑ REPAIR .... 1] TENANTIMPROVEMENT
._ . _ :
':CENSUS CODE - .
LOT SIZE: =-' -
ZONIPIG DESIGNATION a
BUILDIIHG 'SHELL ONLY? OYES ❑ NO
COM�.P7 DESIGNATION
_.: ..._.
BASIC PLAN? F-1 YES C1 NO
.. _:.
SECTION , _ TORANGE
NEW ADDRESS REQUIRED? ❑YES NO
PLATTED COT? ❑ YES ❑ NO
CHANGE OF USE? C1 YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 • FAX: 253-661-4129
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