12-103434City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax. (253) 835-2609
Ouilding - Mutti Family
Permit #: 12 -103434 -00 -MF
LEInspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS - LEASING OFFICE
Project Address: 31004 19TH PL SW
Parcel Number: 122103 9141
Project Description: ALT - Modify existing trellis gable feature over Leasing Office entry way
Owner
A n�
Contractor
Lender
FOREST COVE LLC
DANI rrrNER
C S BENSCH INC
FOREST COVE LLC
12000 NE 8TH ST SUITE 200
BCRA ARCHITECTS
CSBENSB888KP (5/17/14)
12000 NE 8TH ST SUITE 200
BELLEVUE WA 98005
2106 PACIFIC AVE SUITE 300
6499 N POWERLINE RD SUITE 205
BELLEVUE WA 98005
TACOMA WA 98402
FORT LAUDERDALE FL 33309
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . 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 Zoning Designation. ............................................... RM 1800
No Fbdur" AssoclaW With This Permit 11
PERMIT EXPIRES Monday, January 21, 2013
Permit Issued on Wednesday, July 25, 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: Date-
5N
ate Z5� �Z
-� 5 � ,
p \ Q yz14 a� e 0
CITY OF V;&�*
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction In tion Record
INSPECTION REQUE TS: (253) 835-3050
12 -103434 -00 -MF Address: 31004 19TH PL SW
FOREST COVE LLC FEDERAL WAY, WA 98023
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.
1-1
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Drainage/Downspout (4040)
Footings/Setback (4110)
Re -steel (4215)
Approved
Approved to place concrete
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
1-1
Foundation Wall (4115)
IJ
Drainage/Downspout (4040)
Re -steel (4215)
Right of Way
Approved to place concrete
Date
Approved to backfill
Date
Approved to place concrete or grout
By
Date
By
Date
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
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
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Framing (4120)
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Ffre/Drafi Stop inspections must be signed -off and
IBC
By
Date
approved. 109.3.4
Gypsum Wallboard Nailing (4130)
Insulation (4150)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Final - Planning
11
Final Erosion Control (4375)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Building (4050)
Approved
By
Date
1-1
Rough Electrical
Approved
IJ
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEIVED
Federal waAL 2 5 2012 PERMIT
COMMUMIY SERVICES
253-852607- FX 253-85-2609 APPLICATION
wwW.at�orredemMkOF FEDERAL WAY
CDS
13
dv-- - 1 0
SF M CO ME PL DE EN FP
CT(� —�
SITE ADDRESS
SUITE/UNIT #
31 o0 1*4 e o
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 1 ow
Z
TYPE OF PERMIT
�,(
)`BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(tenant Nam/Homeou)ner Last Name)
PROJECT DESCRIPTIONI��
Detailed descr(ption of work to
�% U
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
D_
�f P1 — /
GA/ 10 99
MAI ING ADDRESS
q33q33q ENp Are.
E -MAH,
CITY
STATE
DCA1Z
NAME
mom
MAILING ADDRESS' ^
E-MAIL
CONTRACTORhqqj
20
CITE
r/I'E Z<p 3M
`
FA3`� V J/fJb�
WA STATE CONTRACTOR'S LICENSE # ESPIRATION DATE
FEDERAL WAY BUSINESS_ LICENSE #
" -1Z-Iv127yQ1,9-
NAM
PHONE
C-5 arm5cf+ LyaWz
a - YU2 -1,124
MAH.DrG ADDRESS
>�itAD
A MCANT
Q
CITY
STATE
ZIP
FAX
q5,1- 6 - Lj(vZ
PROJECT CONTACT
NAME
Dft
PHONE u
7.153 `
Clue individual to receive and
MAILBVG ADDRESS?�
"40& F&I
E -MAD,
respond to all correspondence
concerning this application)
L .�Cl�
Q
CITY
STATE
�t
ZIP
g
FAX
FAX S'
CONTACT NAME:
PHONE
E -MAD,
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAIIING ADDRESS. CITY. STATE, ZIP
PHONE
(RCW 19.27.095)
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I eertVy 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 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 olYtoers and employees, upon the accuracy of the
irtformation supUtooity asa part of this application.
SIGNATURE: DATE
PRINT NAME: Le. ` _�1 &LE I.1 N fP--v-,-
Bulletin #100 — January 1, 2011 Page I of 3 . k: flandouts\Permit Application
SM
W
OWl
0 0
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must beprovided)
Indicate how many of each type ofjLvture to be installed or relocated as part of this project. Do not include existingftxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemlaq
BOILERS FURNACES HOT WATER TANKS (Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offixture 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 (1Utchen/Ut1Uty) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FiSTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING UIPROVEMENfS
O
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
I L-- _ _ . _ _ ❑ Yes%L No n Yen V Tin
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application