06-104124 •
City of Federal Way Building Multi Family Permi . 06-104124-00-MF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CAMPUS GREEN BLDG 2
Project Address: 500 S 321ST ST Unit 2A Parcel Number: 132150 0130
Project Description: Re-roof - installing new comp
Owner Applicant Contractor Lender
PROTOCOL PROPERTIES NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC
1703 S 324TH ST SUITE C PO BOX 1697 NORTHRS088DW 10/15/07
FEDERAL WAY WA 98003 KENT WA 98035 PO BOX 1697
KENT WA 98035
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.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Friday, August 15, 2008
Permit Issued on Tuesday, August 15, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
and a City of Federal Way.
Owner or agent: / L Z, �L Date: - 7 c
1' City of Federal Way el • 1
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: CAMPUS GREEN BLDG 2 Permit #: 06-104124-00-MF
Address: 500 S 321ST ST Unit2A
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: PROTOCOL PROPERTIES
Owner Address: 1703 S 324TH ST SUITE C
FEDERAL WAY WA 98003
Bulling Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
,. THIS CARD IS TO.MAIN ON-SITE
CITY OF �_ ''' - Community� Development Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104124-00-MF
Owner: PROTOCOL PROPERTIES
Address: 500 S 321ST ST Unit 2A
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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 approved. 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.
O Footings/Setback(4110) .❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing (4105) ❑ Shear Walls (4245) •❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
•
By Date By Date • By /E* Date 02/ey_
Fire/Draft Stops (4095) g g ) 0 Framing(4120)
•
❑ Il NOTE: Prior to scheduling a Framing 4120
Approved i inspection;Electrical,Plumbing&Mechanical I Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date •
signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final -Fire Department(4060) `❑ Final- Building (4050) ,
Approved Approved
By Date By ' j Date g_Z.O_C 7
I
if
. - A. iwc) 1 '
Federalay of FEOERPw \�� - L 1 2--.Y
CAIN( p1NG 0 PERMIT
SF SIF CO ME EL PL DE EN FP
COMMUNRY DEVELOPMENT SERVIC BVD,- C/
3332FEDERAENUE SOA 98063 BOX 9718 9718
APP L I C AT I O N
FEDERAL WAY,WA 98063-9718 m / /
253-835-2607•FAX 253-835-2609
uww.rityoffedera0.uutt orn
The ollowing is re.wired in ormation-art incom.lete a.•lication will not be acce•ted. Please .rint le.ibl (in ink)or t .•.
• PROPERTY INFORMATION
SITE ADDRESS C� �0TO 3a-1 J7. 51 } SUITE/UNIT# 44
ASSESSOR'S TAX/PARCEL# - LOT SIZE (s/) _
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal A.-..-ryn ton) -._.
• PROJECT INFORMATION
TYPE OF PERMIT IBUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONi)
(Provide detailed description of work included on this permit onit
I-Z- QF c"--(._ V /----,i`-f).> /17L'6-) /,-moi L ( i,,,, c,-.s v 1,")
p_cf t)- z
PROJECT NAME(Name of Business or Owner Last Name) (111-7,qpt.)-_) ( :: �2cZ,L A) L)2( ._ •
II PEOPLE INFORMATION
PROPERTY NAME 1 1, -- ' PRIMARY PHONE
OWNER P2.0-10P2.0-10oL �j��Q-acry ` fA)6A/'I'E.zIP 3 ) 83S- 9,3.2-
MAILING ADDRESS
17 d 3 5,--e17-1 5 qT'/f i f Jyc 4-C c—'..Ay c.--91- Ot)`-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
2N L,A-5 i 1/Z-E3UF- L C_HCLI s V"i1 j S (01.I5 ) 85" - c'- 4"'
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
P. 81," /(. / 7KC1-, f/t/A- 98030- ( ) -
CITY OF FEDERAL WAY BUSINES LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / (
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5'"1.'. %-►5 C.841i).s4-LTl7`L ( ) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME,... (�-� [ PRIMARY PHONE E-MAIL ADDRESS
('ll`.i LD L��.x-y 41_ ) ( 3 ) f'c - Cys5 3
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
in DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 2
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ( ) . COO• LY-C
SPRINKLERED BUILDING?
DYES
❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? r YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA CI PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE
0 PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
- — - --- SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST ----------------
SECOND
THIRD
FOURTH — —--
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSE lb(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 he city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ✓ ;'LPieNC374-9?—) DATE
(Signature) (mile)
RELATIONSHIP •OJECT ■ Owner1 ent ^r_Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
1 NEW a ADDITION ❑ALTERATION J REPAIR r-)TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application