04-100521 City of Federal Way
Community Development Services Building - Multi Family Permit #: 04 - 100521 - 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: SALTWATER PARK APARTMENTS
Project Address: 28620 PACIFIC HWY S BldgH75-8 Parcel Number:332204 9042
Project Description: Reroof West side of building H75-58.
Owner Applicant Contractor Lender
SALTWATER PARK APARTMENTS SALTWATER PARK APARTMENTS SALTWATER PARK APARTMENTS NONE
P O BOX 738 P O BOX 738
MUKILTEO WA 98275-0738 MUKILTEO WA 98275-0738 P 0 BOX 738
\ \ MUKILTEO WA 98275-0738 NONE
Includes:
Census category: 434-Reside #1 IL
#2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no c Mechanical No
Plumbing No
PERMIT EXPIRES August 15,2004.
Permit issued on February 17,2004
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,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: _'1%� ���—cif ' Date: , G/
MMUNITY DEVELOPMENT SERVICES
-1� ID 3CO3530 FIRST
WAYSOUTH
98 6918 9718
u101911.,........,- FEDERALrr of
Federal way PERMIT APPLICATION n E ..r`4.1 'ny6mn129
I To:
136 2)
For o�a ua�only: FW File Number: 0 it - __( 0 Q > _., (-- - U C FEB 1 `7 2004 /
The oliounn. is re.uired in ormation-an incom•lete a.•lication will not be acce.ted. Please .t i i r.,'1'.'.'1% iii , •e.
• `• PROPERTY INFORMATION
SITE ADDRESS: 4‹..........-4-50--e, �1 C '24"-i' ,$ SUITE/APT # 7 J6---j7.Td//
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) v 5'��- r--/ X-52,,-Z ''''6706-7/.7)1C-71 Z
(Attach separate page for le/t'gthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): II BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
U ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business/Owner Last Name): ..5-5:./.7-7-1X-'r -47e--,./. f.,Q
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: /�-G„� /6 11'SATT (-7(i=' ) ,,.5 V - 4.3,3 t,-/._?
MAILING ADDRESS(STREET ADDRESS;*: y, CITY,STATE,ZIP
��f d
/�7
�7 % ,)rrG r/�`G 1...”/-ter �ev),t---e,-74 ,7 5�Vc-_C
CONTRACTOR: NAME COMPANY OFFICE PHONE:
,s;./:( ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
ZJ- "-v �",X - �,,, j _r .'r/7.' ' 1,, 14,30 3yi ..7 ( ) 2K.-/ - `•2' y(
CITY OF FEDERAL WAY BUSINESS LICBIVSE NUMBER: EXPIRATION DATE: . FAX NUMBER:
- - - / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER: NAME: DAYTIME PHONE:
(If Proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;(: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
,r,r.':' 02?,--,,Z-4,,-C) .51-1--171wi.. ,-/ 10.7 (< a:T )sir% - le-/7
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant ❑ Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION • .
EXISTING USE: .C1'.n(:77
L/n'27 PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES )A NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES )z(NO
WATER SERVICE PROVIDER 21 LAKEHAVEN U HIGHLINE U TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
' r ■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST -/,.?. v
SECOND .,
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
{
TOTAL EXISTING TOTAL PROPOSED Tel EXISTING AND PROPOSED I
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
I
■ FIXTURES I
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. I
MECHANICAL
Value of Mechanical Work $
I
- AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm<r..1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS 1
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rod) MISC(Describe) 1
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS i
LAVS(Bathroom Sulk VACUUM BREAKERS ELECTRIC WATER HEATERS I''
I
■ DISCLAIMER/SIGNATURE BLOCK
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, 1
including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application.
/ - - Al-�)/7/'r/Yt DATE: /7 �/'
NAME/TITLE: � ��
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner Applicant p<Contractor 0 Architect 0
FOR OFFICE USE ONLY:
a NEW a ADDITION ❑ALTERATION o REPAIR C TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION• CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES a NO
Ibli can#1.0;i rr ilrrr 1, .-G r1 Page 2