13-105386City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609 FILE
Project Name: FOREST COVE APARTMENTS
Project Address: 31004 191M PL SW
qBuilding = Commercial
Permit #: 13 -105386 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number. 122103 9006
Project Description: ADD - Proposal to construct new 1278 square foot community center building. Mechanical
included. Plumbing by separate permit.
Owner
FOREST COVE LLC
Anulicant
WOLTER DESIGN GROUP
Contractor
RESTORATION SYSTEMS INC
Lender
OWNER IS LENDER
12000 NE STH ST SUITE 200
ARCHITECTS
RESTOS187OLQ (6/20/15)
117
'
BELLEVUE WA 98005
25050 NE 42ND PL
153 N MAIN ST SUITE 104
REDMOND WA 98053
COLLIERVILLE TN 98017
Census Category: 318 - New Amusement, Social and Recreational Building
Includes:
# 1 #2 #3 #4
Occupancy Class:
A-3
Construction Type:
Type V - B
Occupancy Load
117
'
Floor Area . ft
1,278 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet -1st Floor....................1278
Existing Sprinkler System in Building?.................No
Number of Stories.................................................1
Plumbing to be Included?......................................No
New / Additional Sq. Feet - Total .......................... 1278
Zoning Designation...............................................RM 1800
Building Pre -con. Meeting Required?...................No
Mechanical to be Included?...................................Yes
Permit for Building Shell Only?............................No
Special Inspections) Required?............................No
Occupancy#1 -Use...............................................Community Hall
Mechanical Fixtures.
Air Handling Units. ........................ 2 Compressors / Heat Pumps............ 1 Ducting .......................................... 1
Fans. ............................................... 3 Gas Piping ...................................... 1 Gas Pipe Outlets............................. 2
PERMIT EXPIRES Wednesday, September 24, 2014
Permit Issued on Friday, March 28, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupan d 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:�S 1
City of Federal Way
Certificate of
Occupancy
W.
,or K
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed byCitt staff.
Tenant Name: FOREST COVE APARTMENTS
Address: 31004 19TH PL SW
Permit #: 13 -105386 -00 -CO
Includes:
#1 #2 #3 #4
Occupancy Class:
A-3
Construction T
Type V - B '
Occupancy Load
117
Floor Area (sq. ft.)
1,278 1 0 0 1 0
Owner Name: FOREST COVE LLC
Owner Address: 12000 NE 8TH ST SUITE 200
BELLEVUE WA 98005
P
Building Official
1,%41t-i�t
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most seventy affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner / occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
t
crrr of
Federal Way
• THIS CARD ISO MAIN GN-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -105386 -00 -CO Address: 31004 19TH PL SW
Project: FOREST COVE LLC FEDERAL WAY, WA 98023-4389
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.
Footings/Setback ()
0 Foundation Wall (4115)�
Drainage/Downspout (4W)
Approved to place concrete
Approved to place concrete
Approved to backfill
By Date
By Date
BDate/4
0
Re -steel (4215)
1:1Approved
❑
0
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Date
Approved to place concrete or grout
By
Approved to place concrete
Approved to sheath floor
By
Date
By
Date ((l 1,f
By
Date
0
0
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By
(&A Date 57- ( ( ,4
__j
Mechanical Rough -in (4165)
0
Gas Piping (4125)
0
Fire/Draft Stops (4095)
Approved
Approved to rel eas
Approved
By
W Date S - t
By
Date
By
Date S-11-1
Prior to scheduling a Framing inspection;
Framing (4120)
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
F.rc raft Stop inspections must be signed -off and
Approved to insulate
Approved to install wallboard
apFrovea. IBC 1093.4
BY
Date 1
By
Date
[:]Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By
Date S ,,�
By
Date
By
Date
Final - Planning
0
Final - Public Works (4080)
0
Final - Mechanical (4065)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Building (4050)
Approved
By
Date
V - �- 0 V_
IA- Lk -kA
Rough Electrical
Approved
1:1Approved
Final Electrical
E]Right
of Way
Approved
By
Date
By
Date
By
Date
t):aE,
IINSPir"CTOR
AREA AND TYPE 0" INSPECTION�,,,,
5 E,4�,V-Lor*l V-r-:P" e_ --e-r- eDK
C" S vvtiv �-✓ i
Pwr4-i k I Fnm;F - ov- +9 ow4v
closr�F ���tviw ww(,l
P11V
c,noc ` APRo PERMIT IPPLICATION
Federal Way � 2014
� CITY � �gE�RA/L WA2Y
l (f j
PERMIT NUMBER / �5 — / e 5--, 3 (9 — 6 (n TARGET DAT
SITE ADDRESS
SUITE/UNIT i
PROJECT VALUATION
ZONINGASSESSOR'S
TAX/PARCEL t
$/-;-?
7Z
-
Z- /- o a- y - <-:=o -6-
TYPE OF PERMIT
❑ BUILDING XPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION>�i
Detailed description of work to
�� f�-7-• ��
be included on this permit only
PROPERTY OWNER
NAME
d G�
PRIMARY PHONE
MAILING ADDRESS
E -MAH,
CITY
Ti-viATEj
ZIP
PHONE C ��
NAILMG ADDRESS
E MAH
CONTRACTOR
CITY _ `
STATE
ZIP
F C'�197�-7
WA STATE CONTRACTOR'S LICENSE ►
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 4
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAH
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.0951
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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:DATE
PRINT NAME:
Bulletin # 100 — January 1, 2013 Page I of 3 kAl-IandoutsTermit Application
MECHANICAL PERMIT
Indicate how many of each typ<
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
GENERAL INFORMATION
CRITICAL AxJCAS ON PROPERTY?
VALUE OF MECHANICAL WORK
VALUE OF PLUMBING WORK
PLUMBING PERMIT
to be installed or relocated as part
of this project. Do not include existingfixtures to remain
FANS
GAS PIPE OUTLETS OTHER (Describe)
FIREPLACE INSERTS
HOODS (commercial)
FURNACES
HOT WATER TANKS (Gao
GAS LOG SETS
REFRIGERATION SYST
GAS PIPING
WOODSTOVES
DISHWASHERS
RAINWATER SYSTEMS
GENERAL INFORMATION
CRITICAL AxJCAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how man o each type o
ure to be installed or relocated as art o this project. Do not include existingres to remain.
BATHTUBS (orruh/shoWercombo)
LAVS (x,,,as�
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
_t` SINKS witche„/utaily)
WATER HEATERS (Electric)
1_ HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AxJCAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application