02-100172City of Federal Way
Community Development Services Building - Multi Family Permit #: 02 -100172 - 00 - MF
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE APARTMENTS
Project Address: 31105 19TH PL SW Parcel Number: 122103 9141
Project Description: REROOF - Tear off 1 layer and install 15 lb. felt, cover with 25 -year random design GAF shingles.
Replace 1/2" CDX plywood, as needed.
Owner
Applicant
Contractor
Lender
FOREEST COVE -388 LLC *Cove -38;
INTERSTATE ROOFING INC
INTERSTATE ROOFING INC
NONE
9500 SW BARBUR BLVD UNIT 300
15065 SW 74TH AVE
fNTERR1077KK 10/18/03
PORTLAND OR 97219-5427
PORTLAND OR 97224
15065 SW 74TH AVE
PORTLAND OR 97224
NONE
Includes:
Census category: 555 - Non-st #1
#2
#3 #4
Occupancy Group: R-1
Construction Type: Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 555 - Non-structural roofing p Mechanical................................................. No
Plumbing ................................................. No Zoning Designation ............................................. RM 1800
PERMIT EXPIRES July 15, 2002, IF NO WORK IS STARTED.
Permit issued on January 16, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal ay. )J-
Owner or agent: Dater")Zo ' 6—D
POWHIS CARD ON THE FRONT OF BUIL
.) A-G BUILDING DIVISION
0 INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -100172 -00 -MF
OWNER'S NAME: FOREEST COVE -388 LLC *Cove -388 Llc Forest *
SITE ADDRESS: 31105 19TH SW
( ) FOOTINGS/SETBACKS.
( ) DRAINAGE: Line
( ) FOUNDATION WALL
NUfPOUR CONCRETE UNTI)� HE ABO E S APPROVED
( ) UNDERFLOOR FRAMING.
( ) Connection `
ON,
QT POUR SLAB OVE IS�iPP„ROVEll ..: ...
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
Roof
Water
Gas
( ) ELECTRICAL ROUGH -IN Ditch Cover.
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING.
( ) INSULATION: Floors
( ) WALLBOARD NAILING.
O ELECTRICAL FINAL
() PLANNING FINAL
O PUBLIC WORKS FINAL
( ) FIRE FINAL
Floor
riIITST BE . '" r O,b. () TRiliIN( SCTiO Am
Walls Attic
( ) SUSPENDED CEILING,
QBE..*,x QVE ;1VIU5T BE APPROVEDPRYOR TOBiTLDiNG D%)PRTMENTFI)`TAL 4 t�, ; ,
( ) BUILDING FINAL 1. Z, 3 - o
INSPECTION LOG
CM� � CONSTRUCTION PERMIT APPLICATION
Fri_�ry �vlat
2F i �� DELI-M`IC �IK—M lN1gt .-
1 CITY OF FEDERAL WAY
**The followirWWWWrOd ormation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY•- •
SITE ADDRESS: 3+004-4 9 ASSESSOR'S TAX/PARCEL #: I2 Z 03
31105-. , 19- pt-SVJ ----- -- —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): Ix BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Reroof - Tear off 1 laver and install
15 lb. felt, cover with 25 year random design GAF shingles. Replace
plywood as needed.
PROJECT NAME: Forest Cove Apartments
PEOPLE.• •
PROPERTY OWNER•NAME: DAYTIME PHONE:
CTL Property Management, INc (253 )856-1630
CONTRACTOR:
I r y 24620 Russel Rd -Kent, Wa 98032
NAME. Interstate Roofing, INc
Dtlff M4-5611
MAILING ADDRESS (STREET ADDRESS; CIry, STATE, ZIP):
EVENING PHONE:
15065 SW 74th Ave Portland, Oregon 97224
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) INTERRIO7 7KK
10 /18 /03
APPLICANT•' NAME: DAYTIME PHONE:
Interstate Roofing, Inc. ( � _
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
See above ( _
RELATIONSHIP TO PRO)ECT: FAX NUMBER:
o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
X
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT N CONTRACTOR
EXISTING USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $.
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 'LSGy_
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
0 •
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
o ELECTRIC o GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
1ISCLAIMERISIGNATl1RE RLC.
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 sup lied tkthe Ltysa part of this application.
NAME/TITLE: DATE: U
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW o ADDITION o ALTERATION
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
o ELECTRIC o GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
1ISCLAIMERISIGNATl1RE RLC.
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 sup lied tkthe Ltysa part of this application.
NAME/TITLE: DATE: U
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW o ADDITION o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES o NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129