18-101627 "Pa -- f-
Building - Multi Family
City of Federal Way E. Permit #:18-101627-O0-MF
Community Development Dept. F I L
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)635-2609
Project Name: THE COVE APARTMENTS BUILDING 29
Project Address: 148 SW 332ND PL Parcel Number: 182104 9053
Project Description: REP-Fire damage inspection. **No construction approved with this permit.**
Owner Applicant Contractor Lender
PROMETHEUS REAL ESTATE ANDREY MASNYYNAVI PACIFIC
GROUP CONSTRUCTION
2600 CAMPUS DR UNIT 200 1335 120TH AVE NE
SAN MATEO CA 94403-2524 BELLEVUE WA 98005
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Number of Stories 2
Is this an Online or O.T.C.application Yes Permit for Building Shell Only? No
Plumbing to be Included? No
PERMIT EXPIRES Sunday, 14 October,2018
Permit Issued on Tuesday,April 17,2018
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,rul- and regulations of the State of
/ Washington and the City o -.era!. ay.
(371-7O4-7
�
Owner or agent: Date: /9
IP NM 111111,
w
• urvoF =ft BUILDING DIVISION
EDEL 33530 First Way South/P.O.Box 9718
%3 FI / Federal Way,WA 98063
Phone(253)661-4000/Fax(253)661-4129
INCIDENT DAMAGE CHECKLIST
CASE # --\() lc72'% /44t
DATE OF INCIDENT: - I _ -014: DATE OF INSPECTION: 4 - -
SITE ADDRESS: ,\A-)
Nature of Incident/Scope Of Damage:
1,1
(If value of damage is greater than 75% of assessed value of structure, a site plan is required)
Building Posted:
O NO OCCUPANCY 0 DANGEROUS BUILDING 0 OTHER 0 NOT POSTED
Permits Required:
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ ELECTRICAL 0 DEMOLITION
Plans Required: 0 Yes 0 No Plans to show:
Engineering Required: 0 Yes 0 No Specifically:
Demolition Complete: 0 Yes C7 No 0 N/A
2nd Inspection Required: 0 Yes ❑ No
Permit Application Information Provided To Applicant:
❑ Demolition Permit Application
O Building Permit Application
O Submittal Checklist
❑ Electrical Permit Application
❑ Other
(253) 661-
Inspector Phone Number
**APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS**
_._ ..A. RECEIVED PERMIT APPLICATION
CITY OF
Federal Way APR 17 2018 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY Of FEDERAL WAY
PERMIT NUMBER / S //�M ' D�VEL/ M - 1,21 _�(J TARGET DATE
ITE ADDRESS SUITE/UNIT#
/1 ' 5I 33,.2„c/ P/ &a zc / �gS723 /3 /J
PROJECT VALUATION ZONING ASSESu1S TAX/PARCEL#
$ / / ô - I 0 ..
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT r,',2
--
X 1'2C CIGtmeko ./.44,4,4(7/20.- .
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
. . --- / NAME PRIMARY PHONE _
/` i he Lcur- A,24),,c)-i 5
PROPERTY OWNER MAILING ADDRESS E-MAIL
338/ /54 19 e SW
CITY STATE ZIP
• ---- - NAME PHONE --_..
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ..... -.` _ _ PRIMARY PHONE --
it/it /cmc' net t 'e CCM6,/
APPLICANT MAILING ADDRESS ..
133 S /62o h Eke /1/�
CIT'Tj STATE ZIPr- FAX
I JC/to(iGc t_ W f9- q''o�,$
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
• NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I 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 I 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 arise •ut o �reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci p/ t =application. /
/ SIGNATURE: / DATE 4l 1 7/1�
i .
PRINT NAME: Q/-20/9 e v 1n2Sn V y
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application