01-104638City
Federal Way
CommuntyDevelopment Services Building - Multi Family Permit #:01 - 104638 - 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: 30919 19TH AVE SW
Parcel Number: 122103 9141
Project Description: REROOF - Tear off 1 layer and install 15 Ib. felt, cover with 25 -year random design GAF shingles.
Replace 1/2" CDX plywood, as needed.
Owner
Applicant
Contractor
Lender
Forest Cove 388 LLC
INTERSTATE ROOFING INC
INTERSTATE ROOFING INC
NONE
1703 SW 309TH ST.
15065 SW 74TH AVE
INTERRIO77KK 10/18/03
FEDERAL WAY WA
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
No
Construction Type: Type V - N
No
Occupancy Load:
RM 1800
Floor Area (Sq. Ft.):
Census Category .................................................
555 - Non-structural roofing p
Mechanical.................................................
No
Plumbing .................................................
No
Zoning Designation .............................................
RM 1800
I hereby certify that the above inforr
the occupancy and the use will be in
the City of Federal Way. n Z
Owner or agent:
PERMIT EXPIRES June 2, 2002, IF NO WORK IS STARTED.
Permit issued on December 4, 2001
and that the construction on the above described property and
. the laws, rules and regulations of the State of Washington and
Date: -S
Po.q HIS CARD ON THE FRONT OF BUILDIMC. f
�_ BUI ,SING DIVISION
wo FIY INSPECTION RECORD
PERMIT #: 01 -104638 -00 -MF
OWNER'S NAME: Forest Cove 388 LLC
SITE ADDRESS: 30919 19TH SW
( ) FOOTINGS/SETBACKS
INSPECTION REQUEST PHONE #: 253-835-3050
( ) FOUNDATION WALL
''kap ADO NOT POUR CONCRETE urrrH.rHEuABOVE IS APPROVED
. ,a ..
( ) DRAINAGE: Line
( ) Connection
Naws DU NOT POUR'SLILu. AVE IS'`AYPRUD f _ = ' m u
( ) UNDERFLOOR FRAMING.
( ) ROUGH PLUMBING: DWV
Water
( ) ROUGH MECHANICAL Gas
( ) SHEATHING,
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) WALLBOARD NAILING
Roof
Ditch Cover
Floor
Walls Attic
( ) SUSPENDED CEILING
__ AB(J QBE ., pIO�:D PRI�Y,I�ROTAPING OR INSTALLING�EILING TILE _'� �'
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE
ABOVE"MCTSTBE"u uAPPROYED PRIOR TO BUILDING DEPARTMENT FINAL .�
O BUILDING FINAL 2, ,. L�» p'Z. e tJ
INSPECTION LOG
«ry OF � .ECEIVE D` CONSTRUCTION PERMIT APPLICATION
- EOFrzFr�
APPLICATION NUMBER; -
vv IAy DEC Q 4 200
APPLICATION NUMBER: _ _ -
1 c.►► ►` OF FEDERAL WAY[APPLICATION NUMBER: _ _
BUILDING DEPT. — —
�b`; **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.
PROPERTY INFORMATION
SITE ADDRESS: e ay. Wa ASS�ESSgR'S TAX/PARCEL #:
p oq�y lgA-(/ 51.x/
LEGAL DESCRIPT NOF ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): Ix BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Reroof - Tear off 1 layer and install
15 lb. felt, cover with 25 year random design GAF shingles. Replace
plywood as needed.
PROJECT NAME: Forest Cove Apartments
PROPERTY OWNER'
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
CTL Property Management, INc (253 )856-1630
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
24620 Russel Rd Kent, Wa 98032
NAME:
Interstate Roofing, INc
D
(tfflE PHO &4-5611
MAILING ADDRESS (STREET ADDRESS; CITY, 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 X03
APPLICANT: NAME: DAYTIME PHONE:
Interstate Roofing, Inc. (
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
See above ( _
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
E-MAIL ADDRESS:
X
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT N CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS:
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)
4 RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ 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 ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
]TSC1 ATMFR /STGNATLIRF 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 -6f Fede ay as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), wh' ma be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where suc claim ar' s out o the reliance of the city, including its officers and employees, upon the accuracy
of the information suppl" d o city a part of is application.
NAME/TITLE: DATE: ! /
❑ PROPERTY OWNER " ❑
FOR OFFICE USE ONLY:
CONTRACTOR
❑ NEW ❑ ADDITION o ALTERATION
E FIXTURES
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? ❑ 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 ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
]TSC1 ATMFR /STGNATLIRF 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 -6f Fede ay as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), wh' ma be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where suc claim ar' s out o the reliance of the city, including its officers and employees, upon the accuracy
of the information suppl" d o city a part of is application.
NAME/TITLE: DATE: ! /
❑ PROPERTY OWNER " ❑
FOR OFFICE USE ONLY:
CONTRACTOR
❑ NEW ❑ ADDITION o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ 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