04-102222 City of Federal Way
Coma•Linty Development Services Biting - Multi Family Permit #:04 - 102222 - 00 - MF
a
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: STONEHAVEN APARTMENTS
Project Address: 1900 SW CAMPUS DR Bldg34 Parcel Number: 182104 9012
Project Description: REP-Repair fire damage in unit 202,Building 34,including replacement of all GWB and
pre-engineered trusses. Repair ceiling in Unit 102 below. No plumbing or mechanical included on this
permit.
Owner Applicant Contractor Lender
AGL INVESTMENTS NO 9 LP*AGI BELFOR USA GROUP*GEORGE P1 BELFOR USA GROUP INC NONE
1050 17TH ST#1200 3826 WOODLAND PARK AVE N BELFOUG99OBJ 12/14/04
DENVER CO SEATTLE WA 98103 3826 WOODLAND PARK AVE N
80265-2050 SEATTLE WA 98103 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: r
1_Construction Type:
[Occupancy Load:
Floor Area(Sq.Ft.): r _
Census Category 434-Residential alt/add-no Mechanical No
Plumbing No
PERMIT EXPIRES December 21,2004.
Permit issued on June 24,2004
I hereby certify that the -hove information s coect and that the construction on the above described property and
the occupancy and the le will be in acc• dance ith the . . s,rules and regulations of the State of Washington and
the City of Federal .;. 4
Ar, I 9 //el/
Owner or agent: . Date:
THIS CARD IS TO MAIN ON-SITE . . ,
Cary OF
kommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102222-00-MF
Owner: GEORGE PLETCHER
Address: 1900 SW CAMPUS DR Bldg 34
FEDERAL WAY, WA 98023-6533
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.
0 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover 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 Date
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE. Prior to scheduling a Framing(4120)
Approved to install roofing Approved ; inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date By
and approved. IBC 109.3.4/UBC 108.5.4
• N
Framing(4120) Insulation(4150) .❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date `--7--7,1By��A7 Date ?Z(`e $tS Date' �7-Q , ,
1:1 Suspended Ceiling Grid (4265) .I. . Final-Fire Department(4060) '❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
• . .
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By Dates . Ze) _OW
• •
INSPECTION LOG
DATE INSPECTOR OK CORRIREJAREA AND TYPE OF INSPECTION
ar of$ RECEI p - C
Federal Way � 40_4___ � � Z
ODMFed DEVELOPMENT SERVICES J U N 0 4r4._
PERMIT s F CO ME EL PL D E E N FP
33530 FIRST WAY SOUTH•Po BOX CESP L I I O N
FEDERAL WAY,WA 98063-9718 kp
253-667-0I15•FAX 253L61412y, I �' k
- �/
www.dttto/%deralwauoutrt I:iTY OF FEDERAL WAY
BUILDING DEPT.
The ollowin• is re.wired in ormation-an ince •lete a.•lication will not be acce.ted. Please .rint le•ibl (in ink)or
PROPERTY INFORMATION
/
SITE ADDRESS l9 SOO ei6 S l ,1 - -(� �B�T1� fill-
"'�� /UNIT# 442--/
ASSESSOR'S TAX/PARCEL# - LOT SIZE(si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoiption)
PROJECT INFORMATION
TYPE OF PERMIT 1R-BUILDING 0 PLUMBING 0 MECHANICAL
B 1JEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIION�Provide detaile descriptio of wor In luded on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) . ( od 64-okt/v'k' stkI / (`r.t
PEOPLE INFORMATION
PROPERTY NAME CJ PRIMARY PHONE
OWNER ( )
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
4 ass/4 (-pley° 6&off 76L 7 (A0)b3P) ORCZ)
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3 c ioxi 4 -&( 5 C & A- coir)W 9 g�V-{
CITY OF FEDERAL WAY BUSINESSLILICENNSSE NUMBER / EXPIRATION DATE / FAX NUMBER
-I 0 `J 1 - B L /� /3 1 / 0 "( (
CONTRACTOR'S REGISTRATION NUMBER(cop of card required with each application( EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ittg-
LI�NGC-AD S CITY,STATE,ZIP (
CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) (
CONTACT NAME n PRIMARY PHO9 — g gV� E-MAIL ADDRESS
LENDER ``/C`/y � ,QJ,�y
Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
-
DETAILED BUILDING INFORMATION AlC
EXISTING USE dif P PROPOSED USE 1
r/ A�
EXISTING ASSESSED/APPRAISED VALUE $ N yJ VALUE OF PROPOSED WORK $ 22.7,181°.0 i
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER AKEHAVEN 0 HIGHLINE ❑ TAC 0 PRIVATE(WELL)
SEWER SERVICE PROVID ❑ LAKEHAVEN ❑ HIGHLINE ATE(SEPTIC)
,
PROJECT FLOOR AREAS .
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST (r"-----,__,,
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
—
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES __ _ _
___Indicate number of each type of fixture 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 CLOSETS troaeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sus)
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 F deral Way as t• a claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which y be made by a pers..,incl •ing the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the rel a e of the city, ncluding 'ts .1fi•-rs and employees,upon the accuracy of the information supplied to the city a part of
this application. A ,
NAME/TITLE / DATE '�// t` v
azure) (Title) [
RELATIONS TO PRc 0 Owner 0 Agent ❑ Contractor 0 Architect o Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application