16-103740City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Multi Family
Permit #: 16 -103740 -00 -MF
Inspection Request Line: (253) 835-3050
Project Name: FOUNDATION HOUSE UNIT 310
Project Address: 32290 1ST AVE S Parcel Number: 172104 9039
Project Description: REP - Water damage repair to sheetrock and framing members and trusses from roof leak.
Owner
Applicant
Contractor
Lender
SENIOR LIVING BROOKDALE
ANTHONY TURRENTINE
INTERSTATE RESTORATION WA
6737 W WASH ST SUITE 2300
INTERSTATE RESTORATION WA
LLC
MILWAUKEE WI
LLC
INTERRW905BH (1/12/18)
53214
22342 68TH AVE S
3401 QUORUM DR SUITE 300
KENT WA 98032
FORT WORTH TX 76137
Census Category: 437 - Commercial alt / addnversion
Includes: #1 #2 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 aw 'ijor 0
Mechanical to be Included? ..................................
Permit for Building Shell Only?...........0,0_1011.
1
Proposed Structure Valuation..............
Subject to
plans.
ofStories.................................................3
to be Included?......................................No
led WithTThis Permit 11
t
V& ENE T EXPIRES Sunday, January 29, 2017
ermit Issued on Tuesday, August 2, 2016
1 h/Occ that the�o information is correct and that the construction on the above described property and
thy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owt: 7 Date:
arVw 4&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 835-3050
16 -103740 -00 -MF Address: 32290 1ST AVE S
SENIOR LIVING BROOKDALE FEDERAL WAY, WA 98003
O• .
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 approve!. 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.
0
Initialrosioa Control)
Foundation Wall (4115)
To be done prior to breaking ground
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By Date
0
Drainage/Downspout(4040)
Re -steel (4215)
Slab/Concrete Floor (4255)
By
Approved to backfill
By
Approved to place concrete or grout
By
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing.(4285)
Floor Sheathing (4105)Shear
Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
AW Date 471 IR
(�
0
0
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -la and
Fire/Draft Stop inspections most be signed -off and
approved. IBC 109.3.4
D Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By At J Date q 2Z A
0 Final Erosion Control (4375)
Approved
By Date
❑ Framinl
Approved to
S
0 Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
0 Final - Building (4050)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By k4 Date Al llitw
Final - S K F & R (4060)
Approved
By Date
1:1Rough
Electrical
Approved
Final Electrical
Approved
Right of way
Approved
By
Date
By
Date
By
Date
sr
4%
CITY OF
PERMI19APPLICATION
Federal Way PERMIT CENTER + 33325 81- Avenue South + Fed 6325
253-835-2607 +FAX 253-835-2609 + pe rmitcente « cltyo e era way.com
/6 10 7.4-
�0 � r AUG 02 2016
PERMIT NUMBER I
TARGET DATE ` - R.A L WAY
SITE ADDRESSSUITE/UNIT
3 2z�10 11<;4_IAV C s
#
31 10
PROJECT VALUATION
ZONING
ASSESSOR T�PARZ# 1
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL []DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
IV-L4SJeSc cv1� L►
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS/ S�
E-MAIL
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CITY
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STATE
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NAME
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MAILING ADDRESS
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E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
Ice
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WASTATE CONTRACTOR'S LICENSE #
CC,1
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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PRIMARY PHONE
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MAILING ADDRESS
223 (-I 2 6 4 A,, 5,,,41,
E-MAIL
APPLICANT
CITY
STATETZII;
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3 Z
FAX
PROJECT CONTACT
NAME
P MARY PHONE
-7 5-0-2-
-0Z(The
MAILING ADDRESS % /
2 2- % Yet
E-MAIL
(Theindividual to receive and
respond to all correspondence
_s" _4,4
CIITTjY , '_
STATE
(4
ZIP
FAX
concerning this application)
7 C- v1(
c� _
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 certify under penalty of per}ury that 1 am the property owner or authorized 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 authorized 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 partof t�plication.
SIGNATURE: �� DATE
7 �
PRINT NAME:GCij3
Bulletin #100 -January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offLxture to be installed or relocated as pail of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
NEW BUILDIN
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offLxture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (T)eerriha)
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL BUILDING
DRINKING FOUNTAINS
SINKS (Kitchen/ Utility)
WATER HEATERS iectriq
HOSE BIBBS
SUMPS
WASHING MAC NES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDIN
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIR I RINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
es ❑ No
❑Yes ❑ No
RESIDENTIAL - NEw OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING P POSED TOTAL
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals EXISTING PROPOSED TOTAL
**YEW HOMES ONLY*"
ESTIMATED SELLING PRICE $# OF BEDROOMS
FOR OFFICE USE
COMMERCIAL - NE /ADDITION
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDIN
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application