02-100173City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Multi Family Permit #: 02 -100173 - 00 - MF
Project Name: FOREST COVE APARTMENTS
Project Address: 30803 20TH AVE SW
Inspection request line: 253.835.3050
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
INTERRIO77KK 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 these will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federa. VYY.
Owner or agent: za Date:
POWHIS CARD ON THE FRONT OF BUILDMIiG
��_ BU DING DIVISION
VV FFY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -100173 -00 -MF
OWNER'S NAME: FOREEST COVE -388 LLC *Cove -388 Lle Forest *
SITE ADDRESS: 30803 20TH SW
( ) FOOTINGS/SETBACKS
( ) FOUNDATION WALL
�,�DVOTOUR=CONCRETE I7N'�BU
K. n _. .�.... F° a
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Roof
( ) Connection
Water piping
Gas
Ditch Cover
Floor
i
'.: � ,k��«6�; • �+ �1 ,., i 1 ,@ � � � � . 1� 1 � � 1 ��1 �' 11 11 � �' �1 pia.' ° _����� ,
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors,
( ) WALLBOARD NAILING
Walls
Attic
( ) SUSPENDED CEILING
( ) FIRE FINAL
" ` � " HES. � �MUST�BE��PPROYED�'RIORO BLT�L�iNG�, _PITMEN FIl�TAI.
( ) BUILDING FINAL / - L -/y O Z. Crc,/
0 0
INSPECTION LOG
-2-91-
RECEIVED CONSTRUCTION PERMIT APPLICATION
vv �
�"G�TItN!�z;
JAN %5 PPN OMR.
Lrr�r of FEDERAL. Vva P-PUC.I�` O NUM�Ft._—
EUILDING DEPT.
**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•- •
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: Z Z e d 3 - 9
30803 --&qo& 5
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): Ig BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Reroof - Tear of f 1 layer 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
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
24620 Russel Rd Kent, Wa 98032
CONTRACTOR:
APPLICANT:
NAME:
Interstate Roofing, INc
D�Y ff � OU4-5611
ll/ Uj
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) INTERRI077KK
1 10 /18 /03
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): ( ) -
X
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 9 CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $ H 1 oc%
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"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? ❑ 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:
❑ 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)
7ISCLAIMFR/SIGNATIIRF 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 whergsuch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informaticpkstipplied 1p the city as a part of this application.
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
DATE: C> I 10 " O';�
❑ NEW o ADDITION ❑ ALTERATION
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 INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ 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)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
7ISCLAIMFR/SIGNATIIRF 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 whergsuch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informaticpkstipplied 1p the city as a part of this application.
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
DATE: C> I 10 " O';�
❑ NEW o ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? o YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES o NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129